Payor Enrollment Specialist
Location
United States
Posted
1 day ago
Salary
$22 - $25 / hour
Seniority
Mid Level
Job Description
Payor Enrollment Specialist
Ob Hospitalist Group Corporate
Role Description The Payor Enrollment Specialist is responsible for processing provider enrollment, credentialing, and re-credentialing applications while maintaining accurate provider records and managing relationships with insurance payors, healthcare facilities, and internal stakeholders. This role requires excellent attention to detail, strong follow-through, and the ability to manage multiple priorities while meeting established turnaround times and quality standards. Key Responsibilities - Provider Enrollment & Credentialing - Prepare, submit, and track provider enrollment applications for Medicaid, Managed Care, and other insurance payors. - Process credentialing and re-credentialing applications for healthcare providers. - Manage payer-specific enrollment requirements across multiple facilities and contracts. - Monitor credentialing and enrollment application statuses and follow up as needed. - Provider Data Management - Maintain provider credentialing records and databases. - 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. - Stakeholder Communication - Build and maintain professional relationships with providers, payors, hospitals, and credentialing contacts. - Respond promptly to credentialing and enrollment requests. - Coordinate signature requests and ensure timely completion of required documentation. - Escalate unresolved provider documentation issues when necessary. - Compliance & Quality - Ensure all Protected Health Information (PHI) is handled securely and in compliance with company standards. - Support compliance initiatives by communicating credentialing issues and status updates appropriately. - Meet established accuracy and turnaround-time expectations. - Participate in credentialing committee activities as needed. 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. Requirements - Some college coursework or equivalent professional experience. - Understanding of medical terminology. - CPCS (Certified Provider Credentialing Specialist) certification. - Experience maintaining provider credentialing databases and CAQH profiles. - Experience working in healthcare credentialing, enrollment, or revenue cycle operations. Benefits - A mission-based company with an amazing company culture. - Paid time off & holidays so you can spend time with the people you love. - Medical, dental, and vision insurance for you and your loved ones. - Health Savings Account (with employer contribution) or Flexible Spending Account options. - Paid Parental Leave. - Employer Paid Basic Life and AD&D Insurance. - Employer Paid Short- and Long-Term Disability. - Optional Short Term Disability Buy-up plan. - 401(k) Savings Plan, with ROTH option. - Legal Plan. - Identity Theft Services. - Mental health support and resources. - Employee Referral program – join our team, bring your friends, and get paid.
Related Guides
Related Categories
Related Job Pages
More Threat Intelligence Specialist Jobs
Role Description Sie übernehmen die eigenverantwortliche fachärztliche Versorgung und Betreuung von Patient:innen im gesamten Spektrum der Endokrinologie. - Gestalten aktiv den Aufbau und die strategische Ausrichtung der Schwerpunktpraxis, von der Prozessdefinition bis zur Etablierung am Standort. - Bauen ein nachhaltiges Netzwerk zu zuweisenden Ärzt:innen sowie Kliniken auf und etablieren die Praxis als zentralen Ansprechpartner in der Region. - Verantworten die digitale Dokumentation und Organisation der Praxisabläufe unter Anwendung von x.Concept und MS Office. Qualifications - Facharzt für Innere Medizin und Endokrinologie und Diabetologie (m/w/d) mit deutscher Approbation. - Unternehmerische Denkweise, Engagement und Organisationsgeschick. - Freude an der Arbeit im Team und hohe soziale Kompetenz im Umgang mit Patientinnen und Patienten. - Sicherer Umgang mit gängiger Praxissoftware (idealerweise x.Concept) und MS Office. Benefits - Leistungsgerechte Vergütung: Faires Gehalt, das Ihrer Qualifikation und Erfahrung entspricht. - Flexible Arbeitsmodelle: Gestalten Sie Ihre Arbeitswoche in Voll- oder Teilzeit und nutzen Sie die Möglichkeit zum Homeoffice. - Fachliche Weiterentwicklung: Unterstützung Ihrer beruflichen Entwicklung durch gezielte Fort- und Weiterbildungen. - Hohe Eigenverantwortung: Übernahme einer Schlüsselrolle und aktive Gestaltung des Aufbaus der endokrinologischen Schwerpunktpraxis. - Modernes Arbeitsumfeld: Professionelles Umfeld mit einem hauseigenen endokrinologischen Labor. - Kollegiales Team: Unterstützendes und wertschätzendes Teamumfeld.
Role Description Project Momentum, an educator licensure and professional learning initiative housed at the Southeast Service Cooperative (SSC), is seeking a Spanish Course Localization Specialist to serve as an independent contractor in support of the translation and language validation of online professional learning courses for ESL and multilingual learner educators. Scope of Work - Review and validation of AI-generated Spanish translations of e-learning course content within an instructional design platform. - Editing and refinement of translations in context to ensure linguistic accuracy, cultural appropriateness, and pedagogical clarity. - Application of consistent terminology aligned with project glossaries, particularly around ESL instruction, multilingual learner education, and educator licensure. - Collaboration with the Project Momentum team to review edits and confirm final translations before publication. - Providing feedback on terminology or phrasing that may require project-level decisions. Qualifications - Native or near-native fluency in Spanish (written and spoken). - Professional proficiency in English. - Experience with translation, localization, or language editing in a professional or educational context. - Familiarity with English as a Second Language, bilingual education, or multilingual learner educator terminology in Spanish. - Ability to meet project deadlines and communicate proactively with the project team. Requirements - Experience with Articulate 360 (Rise, Storyline, or the Articulate Localization tool). - Background in K–12 education, educator preparation, or professional development. - Experience with e-learning course localization workflows. Compensation Compensation is structured as a per-course flat fee. Rates will be determined based on course length and complexity and will be negotiated prior to the start of work. Project Momentum will provide a contractor agreement and scope of work document prior to commencement.
Courtroom Presentation Specialist Chantilly, VA / Remote / Hybrid / Fairfax, VA Litigation Support / Full Time Hybrid / Hybrid Courtroom Presentation Specialist Employment Type: Full-Time, Mid-Level Department: Legal As a Courtroom Presentation Specialist, for CGS, you will be responsible for providing litigation support services to clients. The ideal candidate must be familiar with courtroom presentation packages such as Trail Director and Sanction. You will work with the trial team, including expert witnesses, to develop plans for trial or hearings using a courtroom presentation system. CGS is looking for a candidate who is ready to be part of a dynamic team and work effectively as a team member in an extremely pressured environment. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: - Develops simple graphic images/exhibits using standard off-the-shelf software packages. - Advises attorneys on the effectiveness of certain exhibits or sequences of exhibits. - Responsible for the smooth operation of the presentation system in the courtroom. - Synchronizes clips with written transcripts. - Coordinates internal firm efforts to conduct trials remotely/virtually. Qualifications: - Bachelor’s Degree preferred, or equivalent combination of education, training, and experience. - Must be a US Citizen and able to obtain a Public Trust clearance. - Extensive trial experience required. - Must have excellent oral communication skills. - Must be able to travel to support out-of-town trial needs. Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government-contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and delivering the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. - Health, Dental, and Vision - Life Insurance - 401k - Flexible Spending Account (Health, Dependent Care, and Commuter) - Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact: Email: info@cgsfederal.com #CJ $70,000 - $90,000 a year
Travel & Vacation Specialist
Beths Beautiful DestinationsThis is your chance to turn travel into a fulfilling career with cutting-edge tools, strong industry backing, and complete flexibility. Whether you’re looking for a side gig or a long-term career, start your adventure with us today!
Role Description Do you love traveling and enjoy helping others plan memorable vacations? We're looking for motivated individuals to join our remote team as Travel Consultants. - Assist clients with planning and booking travel experiences - Research destinations, accommodations, cruises, tours, and vacation packages - Provide exceptional customer service and support - Maintain accurate booking and client information Qualifications - Strong communication and organizational skills - Basic computer skills - Ability to work independently in a remote environment - Passion for travel and helping others Benefits - Remote work flexibility - Dedicated travel website with built-in booking engine - Clients can book independently or work directly with you - Access to travel perks and industry discounts - Supportive team environment - Errors & Omissions insurance included