Payer Enrollment Implementation Specialist

The Payer Enrollment Data & MD-Staff Specialist is responsible for maintaining accurate provider and payer enrollment records within MD-Staff and supporting provider enrollment, credentialing, and provider data management activities. This role serves as a key resource for ensuring data integrity, document management, system maintenance, reporting, and ongoing operational support across the organization.The ideal candidate is highly detail-oriented, organized, and capable of managing large volumes of information while maintaining a high level of accuracy. This position works closely with payer enrollment, credentialing, medical staff services, billing, and operational teams to support provider data quality and regulatory compliance.Essential Functions:Provider Data & Document Management Upload, maintain, and organize provider documents within MD-Staff. Build and maintain comprehensive provider profiles using information gathered from multiple internal and external sources. Review, organize, and accurately associate documents with provider records. Update provider demographic, credentialing, and enrollment information as changes occur. Ensure provider records remain accurate, complete, and compliant with organizational standards. Track and verify document updates, profile changes, and system maintenance activities. Maintain Provider CAQH Profiles Manage Shared Email Box Payer Enrollment Data Management Enter, update, and maintain payer enrollment information using payer rosters, provider updates, and internal data sources. Reconcile payer enrollment information between MD-Staff, internal systems, and external vendor data. Maintain accurate payer participation records, effective dates, panel status, practice locations, and provider demographic information. Monitor enrollment changes and support ongoing payer maintenance activities. Assist with payer roster audits, provider directory validation, and data reconciliation efforts. Research and resolve discrepancies related to provider enrollment records. MD-Staff System Administration & Support Support the ongoing administration and maintenance of MD-Staff provider and enrollment data. Assist with system enhancements, testing, upgrades, and optimization initiatives. Participate in data cleanup and data integrity projects. Generate reports and provide data support to internal departments. Assist users with locating and interpreting provider and enrollment data. Maintain established data standards and best practices within the system. Quality Assurance & Collaboration Validate provider and payer data to ensure accuracy, completeness, and compliance. Collaborate with payer enrollment, credentialing, medical staff services, billing, revenue cycle, and operational teams. Identify, investigate, and resolve data discrepancies and system-related issues. Escalate data inconsistencies, workflow concerns, and system issues as appropriate. Participate in process improvement initiatives that increase operational efficiency and data accuracy. Support organizational projects related to provider enrollment, credentialing, and provider data management. Education and ExperiencePreferred High School Diploma or equivalent. Two (2) years of experience in payer enrollment, credentialing, provider data management, medical staff services, or a related healthcare administration role. Experience maintaining provider records and working with large volumes of data. Proficiency with Microsoft Office applications, including Excel, Word, and Outlook. Knowledge of provider enrollment and credentialing processes across multiple payer types. .Knowledge, Skills, and Abilities Understanding of provider enrollment, credentialing, and provider data management processes. Ability to analyze, reconcile, and maintain large volumes of data with a high degree of accuracy. Strong attention to detail and organizational skills. Excellent written and verbal communication skills. Ability to work independently and collaboratively within a cross-functional team environment. Strong critical thinking, analytical, and problem-solving skills. Ability to manage multiple priorities and meet deadlines in a fast-paced healthcare environment. Ability to provide support, guidance, and training without direct supervisory authority. Demonstrated professionalism, discretion, confidentiality, and sound judgment. Strong customer service orientation and commitment to continuous improvement.This job will be fully remote.Our Billing Co. offers a competitive benefits package!Pay Range: $24.00 - $30.00Individual annual salaries/hourly rates will be set within job's compensation range, and will be determined by considering factors including, but not limited to market data, education, experience, qualifications, and expertise of the individual and internal equity considerations.