Payer Enrollment Specialist - Multi‑State, Non‑Delegated (exp. req.)

Location: Remote – must live in the United States

About the role

Our client in the healthcare services industry is looking for a Provider Enrollment Specialist to manage credentialing and enrollment activities for assigned accounts across multiple states. In this role, you will handle non-delegated payer enrollment applications for individual billable providers from start to finish, including logging into payer portals, completing applications, tracking payer-specific requirements, resolving enrollment issues, and ensuring each submission reaches approval and billing readiness. This is an opportunity to support community-based clinics across 20 states while helping providers enroll and bill without delay.

Responsibilities

• Act as the primary contact for assigned accounts across multiple states
• Independently manage credentialing and provider enrollment for assigned accounts
• Navigate state-specific processes unique to each payer and state
• Complete and track provider enrollment applications with commercial and managed care payers
• Submit individual billable provider applications through payer portals
• Support Medicare and Medicaid enrollments
• Maintain and update payer-specific records to support timely approvals
• Ensure provider data accuracy, including up-to-date CAQH profiles
• Track application status and respond to payer follow-ups
• Coordinate payer contracting processes, resolving issues and escalating delays as needed
• Communicate with payers and providers on enrollment and contracting needs
• Keep clients informed through regular progress meetings and proactive problem-solving

Requirements

• Direct payer enrollment experience required
• Experience submitting billable provider applications to insurance payers required
• Commercial, managed care, Medicare, and/or Medicaid enrollment experience required
• Proficiency with credentialing/enrollment software and Microsoft Excel required

Note: Candidates with primarily CVO, delegated credentialing, provider relations, or general credentialing support backgrounds are not a fit unless they have personally owned non-delegated payer enrollment submissions.

Benefits

• Health Insurance
• 401k with match
• Paid Holidays
• Paid Time Off

Pay

$44,000 - $54,000

Schedule

• Full-Time, 100% Remote
• Typical Hours: 8:00 AM – 5:00 PM with flexibility, Monday–Friday

Start Date: ASAP