Payer Enrollment Specialist

PeaceHealth; Vancouver (WA); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

Medical and dental coverage

Vision coverage

403(b) retirement plan with employer/m

Paid time off

Life and disability insurance

Tuition reimbursement

Wellness benefits with EAP

Job summary

PeaceHealth is seeking a Provider Enrollment Specialist for a full-time role in Washington. The position coordinates enrollment processes with government and non-delegated payers for PeaceHealth providers, including applying for NPIs and adding locations to plans.

Responsibilities include preparing enrollment applications, tracking revalidations, staying current on payor policies, and supporting multiple departments to resolve enrollment issues.

Qualifications

• Minimum of 2 years experience in provider enrollment or equivalent
• Knowledge of CMS and related guidelines and regulations
• Experience with credentialing databases (OneHealthPort, CAQH) preferred

Responsibilities

• Prepare and submit provider enrollment applications to payors and government plans
• Coordinate provider enrollment, licensing, DEA requirements, and location changes
• Track revalidation and recredentialing applications
• Maintain payor databases and knowledge base on payer requirements
• Assist internal departments to resolve enrollment issues

Skills

Verbal and written communication

Organizational skills

Analytical skills

Time management

Attention to detail

MS Office skills

Education

High School Diploma

Associate degree preferred

Bachelor's degree preferred

Tools

Microsoft Word

Microsoft Access

Microsoft Excel

PowerPoint

Job description

PeaceHealth is seeking a Provider Enrollment Specialist for a full-time role in Washington. The position coordinates enrollment processes with government and non-delegated payers for PeaceHealth providers, including applying for NPIs and adding locations to plans.

Responsibilities include preparing enrollment applications, tracking revalidations, staying current on payor policies, and supporting multiple departments to resolve enrollment issues.