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United States
Remote only
We are a fast-growing, multi-state medical & behavioral clinician group dedicated to delivering high-quality outpatient and tele-health services focused on interventional mental health treatments (Spravato & TMS). To keep pace with expansion, we’re adding an experienced Payer Enrollment Specialist to our remote operations team.
We’re looking for a proactive, detail-oriented team member to help keep our clinician payer enrollment process moving smoothly. In this role, you will play a key part in submitting payer enrollments, tracking enrollment statuses, following up with payers to identify and resolve blockers, and requesting fee schedules to support our operational planning. You’ll help ensure our clinicians get paneled quickly and stay on track, especially with plans in New York, New Jersey, California, Texas, Florida, Pennsylvania, and Colorado.
This is a great opportunity for someone who’s organized, persistent, and excited to dive into the fast-paced world of healthcare operations.
Submit new provider enrollments with Medicare, Medicaid, and major commercial payers (e.g., BCBS, UHC, Aetna, Cigna).
Proactively track provider enrollment and credentialing statuses with Medicare, Medicaid, and major commercial payers (e.g., BCBS, UHC, Aetna, Cigna).
Request and follow up on payer fee schedules to support internal planning.
Maintain and update CAQH, PECOS, NPPES, and state portals; resolve discrepancies and follow-up requests quickly.
Maintain up-to-date payer status logs; report in real time on turnaround times, expirations, and pending items utilizing our tracking tools.spreadsheet.
Collaborate with credentialing team members and liaise with payer representatives to escalate issues, unblock delays, and shorten approval timelines.
2+ years’ recent, hands-on experience with payer enrollment.
Documented success credentialing providers with health plans in NY, NJ, CA, TX, FL, PA and CO (please list payers).
Fluency with credentialing databases, spreadsheets, and document-management tools.
Strong written communication, follow-through, and problem-solving skills.
Experience with payer enrollments for behavioral practices.
Contract position averaging 40 hours per week; additional hours available during peak cycles.
Remote—work from anywhere in the U.S. (reliable high-speed internet required).
Competitive hourly rate, commensurate with experience.
Work from anywhere in the US .
Consistent weekly workload.
