Provider Payor Enrollment Specialist

About the role

Join Our Team at Cuyuna Regional Medical Center. This position is being offered as a .8 FTE (64 hours a pay period).

Responsibilities

• Manage the end-to-end enrollment, credentialing, and recredentialing of providers across hospital and clinic settings with payors.
• Navigate Medicare, Medicaid, and commercial payer systems while maintaining strict accuracy in provider data and documentation.
• Track multiple applications, resolve enrollment-related claim issues, and meet evolving regulatory and payer requirements.
• Collaborate with providers, billing teams, and internal departments to support smooth onboarding and uninterrupted revenue cycle operations.
• Proactively address discrepancies to maintain compliance and reimbursement readiness.

Requirements

• Education and Experience Required:
• Associate degree in healthcare administration, business, or a related field, or equivalent combination of education and/or experience.
• 3-5 years of experience in provider enrollment, credentialing, or payer-related functions preferred.
• Working knowledge of Medicare, Medicaid, and commercial payer enrollment processes.
• Strong organizational and time management skills with the ability to manage multiple priorities and deadlines.
• High level of attention to detail and accuracy in data management and documentation.
• Educational certification in credentialing (e.g., CPCS, CPMSM) or related field is preferred.

Qualifications

• Detail-oriented with strong data accuracy.
• Independent, self-directed work style.
• Strong organizational and prioritization skills.
• Analytical problem-solving mindset.
• Clear communicator.

Skills

• Knowledge of payer enrollment processes.
• Effective written and verbal communication skills.

Benefits

Cuyuna Regional Medical Center offers a comprehensive benefits package designed to support the health, financial security, and overall well-being of our employees. Eligible employees receive medical insurance, dental insurance, and vision insurance, health savings accounts, life insurance, and employer contributions to a 401(k) retirement plan. Additional benefits include paid time off, participation in 401(k) and 457(b) plans, educational assistance and reimbursement, an employee assistance program, work-life balance support, gym membership and other discounts, and employee recognition programs.