Payor Enrollment Specialist

US Neuro LLC; Fort Worth (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

US Neuro LLC is seeking a detail-oriented specialist to manage payer enrollment with clearinghouses and insurer portals. You will coordinate electronic submissions, remittances, EFTs, and eligibility checks, while maintaining and updating enrollment records.

The role requires experience with ERA/EDI processes, payer portals, and strong organizational skills to handle multiple enrollment projects concurrently.

Qualifications

• High School diploma or equivalent.
• 2+ years of health care payer enrollment, provider enrollment, credentialing, EDI, or revenue cycle experience.
• Experience initiating payer enrollments through clearinghouses.
• Understanding of ERA, EFT, EDI, and electronic claims processes.
• Experience working with payer portals and insurance carrier websites.
• Strong organizational and follow-up skills.
• Ability to manage multiple enrollment projects simultaneously.
• Proficiency with Microsoft Excel, Outlook, and health care software platforms.

Responsibilities

• Initiate and manage payer enrollment applications through clearinghouses and insurer portals.
• Coordinate enrollment for electronic claims submissions, electronic remittance (ERA), EFT, and eligibility transactions.
• Maintain enrollment records and track application status through completion.
• Follow up with insurance carriers and clearing houses regarding pending applications.
• Resolve enrollment rejections, denials, and enrollment-related claim submission issues.
• Maintain current enrollment relationships as payer requirements change.
• Serve as the liaison between US Neuro and Clearinghouse partners; monitor enrollment reports for missing connections.
• Develop and maintain a master inventory of current payment enrollments.
• Gather and maintain required enrollment documentation (NPIs, Tax IDs, W-9, EFT docs, etc.).
• Ensure compliance with payer and clearing house policies.

Skills

Experience enrolling through clearingh

Strong organizational and follow-up

Multitasking

Education

High School diploma or equivalent

Tools

Microsoft Excel

Microsoft Outlook

Job description

Essential Duties and Responsibilities

Payor Enrollment and Clearinghouse Management

• Initiate and manage payer enrollment applications through clearinghouses and insurer portals
• Coordinate enrollment for electronic claims submissions, electronic remittance, ERA, and electronic fund transfer (EFT), and eligibility transactions
• Maintain enrollment records and track application status through completion
• Follow up with insurance carriers and clearing houses regarding pending applications
• Resolve enrollment rejections, denials, and enrollment-related claim submission issues
• Maintain current enrollment relationship as Payer requirements change
• Serve as the primary liaison between US Neuro and Clearinghouse partners Monitor Payer enrollment report and identify missing and inactive connections
• Develop and maintain a master inventory of current payment enrollments

Documentation and Compliance

Gather and maintain required enrollment documentation, including:

• Provider NPIs
• Group NPIs
• Tax IDs
• W-9 forms
• Bank letters
• EFT documentation
• Authorized signatures
• Maintain accurate records of approvals, effective dates, and payer requirements.
• Ensure compliance with payer and clearing house policies

Requirements

Required Qualifications

• High School diploma or equivalent
• 2+ years of health care payer enrollment, provider enrollment, credentialing, EDI, or revenue cycle experience
• Experience initiating payer enrollments through clearinghouses
• Understanding of ERA, EFT, EDI, and electronic claims processes
• Experience working with payer portals and insurance carrier websites
• Strong organizational and follow-up skills
• Ability to manage multiple enrollment projects simultaneously
• Proficiency with Microsoft Excel, Outlook, and health care software platforms

Preferred Qualifications

• Experience with Waystar, Availity, Office Ally, Change Healthcare, or similar clearinghouse platform
• Experience a medical biller or revenue cycle management
• Knowledge of commercial, Medicare, Medicaid, and managed care payer requirements.
• Experience with multi-state provider organizations.
• Experience supporting large-scale enrollment and conversion projects