Program Coordinator - Payer Connectivity

About the role

The Program Coordinator – Payer Connectivity provides program and initiative support across WellSky and serves as the organization’s subject‑matter expert for payer setup, electronic payer enrollment, EDI connectivity, and general payer architecture across multiple Electronic Health Record (EHR) and revenue‑cycle platforms. The role coordinates and maintains the end‑to‑end payer ecosystem that supports electronic claims submission, Electronic Remittance Advice (ERA), and related revenue‑cycle transactions. This position is onsite at World Headquarters in Overland Park, Kansas.

Responsibilities

• Payer Operations & Enrollment Management: Own payer setup, configuration, enrollment, and maintenance across EHR, clearinghouse, and revenue‑cycle systems; manage electronic claims, ERA, EFT, and trading‑partner enrollments; support payer onboarding, EDI testing, connectivity validation, and issue resolution; serve as the primary liaison for payer and clearinghouse relationships.
• Revenue Cycle & System Support: Partner with cross‑functional teams to optimize payer workflows and claims processing; investigate enrollment, connectivity, and claims issues, perform root‑cause analysis, and coordinate resolutions; maintain payer configurations, reporting, and system documentation.
• Compliance & Process Governance: Ensure compliance with HIPAA, CMS, state, and payer requirements for electronic claims transmission and management; maintain SOPs, enrollment records, and audit‑ready documentation; monitor industry changes and drive process improvements to enhance operational efficiency.

Required Qualifications

• Bachelor’s degree or equivalent work experience.
• 3–5 years of relevant experience.
• Direct experience with payer enrollment, EDI transactions, clearinghouse operations, and payer connectivity.
• Familiarity with process‑mapping and documentation tools.
• Strong working knowledge of Medicare, Medicaid, and commercial payers.
• Working knowledge of healthcare EDI transactions, including 837 Claims, 835 Remittance, 277CA Acknowledgments, 999 Transactions, and 270/271 Eligibility.

Job Expectations

• Willingness to work additional or irregular hours as needed.
• Adherence to applicable security policies and procedures to safeguard company and client information.
• Ability to sit and view a computer screen for extended periods.

Benefits

• Excellent medical, prescription, dental, and vision benefits.
• Mental health support through an Employee Assistance Program (EAP).
• Generous paid time off plus 13 paid holidays.
• 100% vested 401(k) retirement plan.
• Educational assistance up to $2,500 per year.