Payor Enrollment Specialist

Symplr Software LLC; United States; Remote; USD 52,000 - 70,000; Full time

Benefits offered by this job

Medical, Dental & Vision

401K with employer match

HSA contributions & Insurance

Parental leave

Well-being resources

Job summary

symplr is seeking a Payor Enrollment Specialist to manage provider enrollment with Federal, State, and commercial health plans. You will gather provider data, complete applications, and follow up until enrollment is achieved, while advising offices on best practices.

You will coordinate with health plans, prepare reports, and maintain organized records. The role emphasizes accuracy, deadlines, and collaboration within a remote-first environment across the United States.

Qualifications

• 1-2 years of college or applicable work experience preferred

Responsibilities

• Communicate and advise designated contact person of paperwork needed to begin enrollment for new providers.
• Inform providers or contacts of sequential steps to complete enrollment with timelines.
• Maintain contact to obtain signatures and collect required documents for applications.
• Enter provider demographics and enrollment data into the software system.
• Scan enrollment documents into the software system.
• Contact health plans to request enrollment packages and follow up until provider numbers are issued.
• Prepare and distribute Payor Affiliation Reports and Status Notes every 2-3 weeks to communicate progress.
• Demonstrate strong teamwork and positive interaction in a team environment.
• Submit monthly invoices in accounting software showing new and completed work.

Skills

Organizational skills

Attention to detail

Critical thinking

Prioritization

Judgment and decision-making

Independent decision-making

Time management

Self-motivation

Education

1-2 years of college or applicable work experience

Tools

Microsoft Office

Excel

Word

Adobe / FoxIt

Job description

The Payor Enrollment Specialist is responsible for provider enrollment into Federal, State, and commercial health plans, correspondence with provider's office, gathering of provider data needed for enrollment, completion of provider applications and follow-up with health plans until provider is fully enrolled. Also, responsible for advising the provider's office concerning best practices and procedures pertaining to enrollment.

Duties & Responsibilities

• Communicate & advise designated contact person of the paperwork necessary to begin the application process for new providers, including any necessary research to gather all details to appropriately enroll provider.
• Communicate & advise the provider or designated contact person of the sequential steps needed to begin the enrollment process, through completion and set timeline expectations.
• Maintain contact with designated contact person to obtain application signatures, and collect all required documents to include with the completed applications.
• Key all provider demographics & enrollment data into software system.
• Scan all related enrollment documents and applications into software system.
• Contact health plans to request provider enrollment application packages and/or required action for enrollment and continue follow-up with insurance plans by telephone or email until all provider numbers are issued.
• Prepare & distribute Payor Affiliation Reports and Status Notes to designated contact person(s) for each provider every 2-3 weeks in order to communicate the progress of approved provider numbers.
• Ability to interact positively in a team environment, demonstrating superior teamwork skills.
• Any other assigned responsibilities as requested by Supervisor, not specifically noted above.
• Prepare and submit monthly invoices in accounting software showing new work and completed work.

Skills Required

• Superior Organizational Skills
• Attention to Detail
• Good critical thinking and problem-solving skills
• Ability to Prioritize Assigned Projects
• Ability to Exercise Sound Judgment
• Ability to Make Independent Decisions in Managing Assigned Projects
• Ability to Manage Time without Immediate Supervision
• Ability to Maintain Self-Motivation

Qualifications Required:

Every organization has a culture, whether they mean to or not, so why not be intentional about it?

Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships.

• 1-2 years of college or applicable work experience preferred
• Experience with Microsoft Office, i.e., Excel and Word, and Adobe / FoxIt

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.

Applicants must be authorized to work in the U.S. on a full-time basis without the need for current or future sponsorship.

About symplr:

symplr is revolutionizing healthcare operations with a first-of-its-kind platform that drives effective, efficient, and connected workflows while increasing operational benefits and scaling clinical, financial, and quality outcomes—driving value where it matters most.

We are a remote-first company with employees working across the United States, India, and the Netherlands. Guided by values, we focus on teamwork, championing our customers, being rooted in action and outcomes, overcoming challenges, and leading through equality and integrity. Read more about symplr's culture and values at symplr.com/careers.

• Company Sponsored Medical, Dental & Vision
• Safe Harbor 401K with Employer Matching up to 5%, eligible upon hire with immediate vesting
• HSA Employer Contributions, Employer Paid Life, Short-term and Long-term Disability, and AD&D Insurance Plans
• Comprehensive medical leave and bonding leave programs for new parents
• Additional Employer-Sponsored Programs: Caregiving resources, emotional well-being support, discount programs, and other valuable employee benefits.

symplr is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

As an ongoing commitment to reasonably accommodate individuals with disabilities, symplr has established alternative methods to complete the application process. Disabled applicants needing assistance are encouraged to call 281.863.9500 if further assistance is required.