Payer Enrollment Specialist

Catalyst Consulting - The Business of Medicine; Austin (TX); Remote; USD 52,000 - 76,000; Full time

Benefits offered by this job

Remote work

Flexible hours

Job summary

Catalyst Consulting - The Business of Medicine is seeking a Provider Enrollment Specialist to manage credentialing and enrollment across payers. The role emphasizes strong organization, attention to detail, and collaboration with payers and providers.

The position offers remote work options and flexible hours, with a culture of support and growth within a national practice consulting firm with 26+ years of experience.

Qualifications

• Minimum of two years of experience in healthcare credentialing and provider enrollment.
• Knowledge of Medicare, Medicaid, and commercial payer enrollment processes.
• Familiarity with credentialing software (e.g., CAQH, PECOS, or payer-specific portals).
• Exceptional attention to detail and organizational skills.
• Strong communication skills, both written and verbal.
• Ability to multitask and meet deadlines.

Responsibilities

• Credentialing management for providers with commercial and government payers.
• Maintain provider information in credentialing databases and systems.
• Track application statuses and follow up with payers to ensure timely approval.
• Manage enrollment processes for new providers and facilities with Medicare, Medicaid, and private insurance plans.
• Coordinate updates to provider rosters, including changes in practice locations, group affiliations, and tax IDs.
• Serve as a liaison between providers and payers to resolve credentialing and enrollment issues.
• Maintain accurate and organized files for all credentialing and enrollment activities.
• Regularly update databases with provider information and application statuses.

Skills

Credentialing knowledge

Payer enrollment processes

Attention to detail

Communication skills

Tools

CAQH

PECOS

Job description

Location: Austin, TX

Employment Type: Full-time

Salary Range: Competitive Based on Experience

About Us:

A nationally recognized medical practice consulting firm seeks an experienced industry specialist to join our team in the role ofProvider Enrollment Specialist.

Catalyst Consulting has been servicing medical clients across the nation for over 26 years as they start and grow their practices. We are expanding and looking for individuals who would like to work for a growing consulting business that offers a highly sought after “lifestyle job” which allows for flexible hours, remote work, an open-door policy, and a friendly and supportive work environment with opportunities to grow with us. We are not a corporate backed organization with the requirements and limitations that come with that. If you are a motivated self-starter who appreciates the freedom to do your job, with the support of a management team who has worked their way into management by starting with the basics and working their way up – this position is right for you!

Catalyst Consulting | The Business of Medicine (catalyst-consultants.com)

Position Overview

The Provider Enrollment Specialist is responsible for managing and coordinating the credentialing and enrollment process for healthcare providers across various payers. The ideal candidate will have excellent organizational skills, strong attention to detail, and a deep understanding of credentialing requirements and payer-specific processes.

Key Responsibilities

• Credentialing Management:
• Prepare, review, and submit credentialing applications for healthcare providers with commercial and government payers.
• Maintain up-to-date provider information in credentialing databases and systems.
• Track application statuses and follow up with payers to ensure timely approval.
• Manage enrollment processes for new providers and facilities with Medicare, Medicaid, and private insurance plans.
• Coordinate updates to provider rosters, including changes in practice locations, group affiliations, and tax IDs.
• Communication and Support:
• Serve as a liaison between providers and payers to resolve credentialing and enrollment issues.
• Data Management:
• Maintain accurate and organized files for all credentialing and enrollment activities.
• Regularly update databases with provider information and application statuses.

Qualifications

• Minimum of two years of experience in healthcare credentialing and provider enrollment.
• Knowledge of Medicare, Medicaid, and commercial payer enrollment processes.
• Familiarity with credentialing software (e.g., CAQH, PECOS, or payer-specific portals).
• Exceptional attention to detail and organizational skills.
• Strong communication skills, both written and verbal.
• Ability to multitask and meet deadlines.

Why Join Us?

• Competitive salary and benefits package.
• Opportunity to work with a dedicated and supportive team.
• Professional development and growth opportunities.
• Additional perks: remote work and flexible hours.