Payer Enrollment & Credentialing Specialist

Marathon-Health; Town of Florida (NY); On-site; USD 33,000 - 41,000; Full time

Job summary

Marathon Health is seeking an Enrollment Coordinator to work with Revenue Cycle Analysts and billing specialists, supporting carrier enrollment for medical staff across multiple insurance plans.

You will manage enrollment applications, update credentialing tables in Athena, and liaise with health plans to resolve inquiries, ensuring timely completion of enrollments and accuracy of provider data.

Qualifications

• High School diploma or equivalent required; credentialing experience preferred.
• Minimum 2 years of medical credentialing experience.
• Experience handling personal information with confidentiality.
• Proficiency with EMRs and credentialing databases is preferred.

Responsibilities

• Partner with Revenue Cycle Analysts and billing specialists to support carrier enrollment functions.
• Assist providers with enrollment applications for commercial payers.
• Maintain provider and payer credentialing tables in Athena.
• Support CAQH profiles, attestations and re-attestations.
• Provide updates to Revenue Cycle Team on enrollment progress.
• Collaborate with Provider Services, Revenue Cycle Management and Field Operations.

Skills

Attention to detail

Organization

Time management

Accountability

Proactive follow-up

Adaptability

Analytical mindset

Communication skills

Team collaboration

Discretion & confidentiality

CAQH familiarity

Education

High School diploma

2+ years medical credentialing experience

Tools

Athena

Job description

Marathon Health is seeking an Enrollment Coordinator to work with Revenue Cycle Analysts and billing specialists, supporting carrier enrollment for medical staff across multiple insurance plans.

You will manage enrollment applications, update credentialing tables in Athena, and liaise with health plans to resolve inquiries, ensuring timely completion of enrollments and accuracy of provider data.