Remote Payor Enrollment Specialist – Medicaid/Managed Care

Ob Hospitalist Group

United States

Hybrid

USD 30,000 - 33,000

Full time

3 days ago
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Benefits offered by this job

Paid time off
Medical, dental, and vision insurance
401(k) Savings Plan with Roth option
Health Savings Account or Flexible-Sp.
Employer Paid Basic Life and AD&D
Employer Paid Short-Term and Long-Term
Employee referral program

Job summary

OB Hospitalist Group is seeking a detail-oriented Payor Enrollment Specialist to join our Revenue Cycle Management team. You will ensure providers are enrolled and credentialed across Medicaid, Managed Care, and commercial payors, supporting uninterrupted patient care and provider reimbursement.

In a fast-paced, remote environment, you will manage enrollment workflows, CAQH data, and stakeholder communications, while meeting tight turnaround times with precision.

Qualifications

  • High School Diploma or equivalent required.
  • 1+ years of payor enrollment experience, specifically with Medicaid and Managed Care payors.
  • Strong organizational skills with exceptional attention to detail.
  • Excellent verbal communication and professional telephone etiquette.
  • Proficiency with Microsoft Office applications, including Word and Excel.
  • Ability to manage multiple priorities while maintaining accuracy and meeting deadlines.

Responsibilities

  • Prepare, submit, and track provider enrollment applications for Medicaid, Managed Care, and other insurance payors.
  • Manage payer-specific enrollment requirements across multiple facilities and contracts.
  • Monitor enrollment application statuses and follow up as needed.
  • Update and manage provider CAQH profiles, licensure information, board certifications, and insurance documentation.
  • Ensure provider rosters remain accurate and current.
  • Maintain CRM records, mail logs, and utility logs.
  • Build and maintain professional relationships with providers, payors, hospitals, and internal/external contacts.
  • Respond promptly to payor enrollment requests.
  • Coordinate signature requests and ensure timely completion of required documentation.
  • Escalate unresolved provider documentation issues when necessary.
  • Ensure all PHI is handled securely and in compliance with company standards.
  • Support compliance initiatives by communicating issues and status updates appropriately.
  • Meet established accuracy and turnaround-time expectations.

Skills

Organization
Verbal communication
Excel
Attention to detail
Remote work

Education

High School Diploma or equivalent
Some college coursework

Tools

Microsoft Word
Microsoft Excel

Job description

OB Hospitalist Group is seeking a detail-oriented Payor Enrollment Specialist to join our Revenue Cycle Management team. You will ensure providers are enrolled and credentialed across Medicaid, Managed Care, and commercial payors, supporting uninterrupted patient care and provider reimbursement.

In a fast-paced, remote environment, you will manage enrollment workflows, CAQH data, and stakeholder communications, while meeting tight turnaround times with precision.

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