Payer Enrollment Coordinator

Job summary

Manage the lifecycle of provider enrollment and credentialing with commercial and government payers to ensure accurate reimbursement. This includes submitting applications, monitoring status, and maintaining provider data in internal systems and payer portals.

Job details

Position Title Payer Enrollment Coordinator Days - Full Time Olathe Medical Pavilion B Position Summary / Career Interest The Payer Enrollment Coordinator is responsible for the managing the lifecycle of provider enrollment and credentialing with commercial and government payers. This role ensures that assigned providers (practitioners or facilities) are properly enrolled, revalidated, and maintained in payer systems to support accurate and timely reimbursement. The payer enrollment coordinator also confidentially manages all supporting documents necessary to support the enrollment process. This position is Hybrid, in office location will be Olathe Hospital in Olathe, KS. Responsibilities And Essential Job Functions Prepare, submit timely , and track payer enrollment and credentialing applications for new and existing providers. Maintain accurate provider data in internal systems and payer portals. Monitor application status, respond to payer requests, and resolve enrollment issues promptly. Manage provider revalidations, recredentialing cycles, and expirables (licenses, certifications, CAQH, NPI, etc.). Communicate enrollment status updates to key stakeholders (revenue cycle, operations, compliance, providers). Collaborate with payers to ensure effective and timely processing of applications. Support process improvement efforts to reduce enrollment delays and denials. Develop and maintain knowledge of System companies and ownership structure in support accurate enrollment. Develop and maintain knowledge of basic governmental payer rules, billing, and payment methodologies in support of accurate enrollment. Develop and maintain standard operating procedures, as assigned. Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. Required Education And Experience High School Graduate 3 or more years Payer credentialing or enrollment Preferred Education And Experience Bachelors Degree Business field 3 or more years Healthcare support experience in medical staff office, patient accounting or billing, or related function. Preferred Licensure And Certification Certified Provider Enrollment Specialist (CPES, NAMSS) upon Hire Credentialing Specialist (AAPC) Required Language Skills Fluent English - Knowledge Requirements Ability to maintain confidentiality. Federal portal submission experience Data Entry experience Intermediate computer skills in Microsoft Ability to work with others in collaborative role Strong organization skills and good time management Strong knowledge of Microsoft Word, Excel, and PowerPoint Time Type Full time Job Requisition ID R-57635 Important Information For You To Know As You Apply The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion. The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu. Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP. Need help finding the right job? We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.

What you’ll do

Manage the lifecycle of provider enrollment and credentialing with commercial and government payers to ensure accurate reimbursement. This includes submitting applications, monitoring status, and maintaining provider data in internal systems and payer portals.

Requirements

Requires a high school diploma and at least 3 years of experience in payer credentialing or enrollment. A bachelor's degree in a business field and professional certifications like CPES or AAPC are preferred.

Listed skills

• Time management · Preferred
• Collaboration · Preferred
• Microsoft Excel · Preferred
• Data entry · Preferred
• Microsoft Word · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Payer Enrollment
• Credentialing
• Provider Data Management
• Revalidation
• CAQH
• NPI
• Microsoft Word
• Microsoft Excel
• Microsoft PowerPoint
• Data Entry
• Confidentiality
• Time Management
• Collaboration
• Revenue Cycle Knowledge
• Governmental Payer Rules
• Standard Operating Procedures

Job areas

• Healthcare
• Administrative
• Finance & Accounting