Strategic Payer Enrollment & Credentialing Specialist

Union Community Care; Lancaster (Lancaster County); On-site; USD 54,000 - 70,000; Full time

Job summary

Union Community Care in Lancaster, PA is seeking a Billing/Payer Enrollment Specialist/Team Lead to manage payer enrollment, credentialing, and revenue cycle workflows. You will maintain enrollment data, communicate with payers and providers, and support billing accuracy and coding compliance.

The role emphasizes training, process improvement, and collaboration with Billing and PAS teams to ensure timely enrollment and accurate claims processing.

Qualifications

• 3 years minimum experience in a payer enrollment related field.
• Knowledge and thorough understanding of managed care operations including enrollment, credentialing, contracting and claims.
• Knowledge of payer processes, local, state, and federal requirements.
• Excellent written and oral communication skills.
• Strong organizational, problem solving and decision-making skills.
• Ability to prioritize and manage multiple projects and issues effectively.

Responsibilities

• Perform all duties of Billing/Payer Enrollment Specialist.
• Collaborate with Billing Staff to research billing & coding procedures.
• Maximize revenue potential with Director of Billing.
• Maintain CPT/CDT knowledge and educate staff.
• Train Billing Staff and PAS as needed.
• Coordinate with PAS for accurate patient information for billing.

Skills

Payer enrollment

Credentialing

Contracting

Claims processing

HIPAA

Spanish (preferred)

Communication

Organization

Tools

Microsoft Office

EMR software

Job description

Union Community Care in Lancaster, PA is seeking a Billing/Payer Enrollment Specialist/Team Lead to manage payer enrollment, credentialing, and revenue cycle workflows. You will maintain enrollment data, communicate with payers and providers, and support billing accuracy and coding compliance.

The role emphasizes training, process improvement, and collaboration with Billing and PAS teams to ensure timely enrollment and accurate claims processing.