Payor Enrollment Specialist jobs in United States
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symplr · 1 day ago

Payor Enrollment Specialist

symplr is seeking a Payor Enrollment Specialist responsible for provider enrollment into various health plans. The role involves communication with provider offices, gathering necessary data for enrollment, and ensuring providers are fully enrolled in health plans.

Health CareInformation TechnologySoftware
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H1B Sponsor Likelynote

Responsibilities

Communicate & advise designated contact person of the paperwork necessary to begin the application process for new providers, including any necessary research to gather all details to appropriately enroll provider
Communicate & advise the provider or designated contact person of the sequential steps needed to begin the enrollment process, through completion and set timeline expectations
Maintain contact with designated contact person to obtain application signatures, and collect all required documents to include with the completed applications
Key all provider demographics & enrollment data into software system
Scan all related enrollment documents and applications into software system
Contact health plans to request provider enrollment application packages and/or required action for enrollment and continue follow-up with insurance plans by telephone or email until all provider numbers are issued
Prepare & distribute Payor Affiliation Reports and Status Notesto designated contact person(s) for each provider every 2-3 weeks in order to communicate the progress of approved provider numbers
Ability to interact positively in a team environment, demonstrating superior teamwork skills
Any other assigned responsibilities as requested by Supervisor, not specifically noted above
Prepare and submit monthly invoices in accounting software showing new work and completed work

Qualification

Provider EnrollmentMicrosoft OfficeAttention to DetailOrganizational SkillsCommunication SkillsCritical ThinkingProblem-SolvingTime ManagementSelf-Motivation

Required

1-2 years of college or applicable work experience preferred
Experience with Microsoft Office, i.e., Excel and Word, and Adobe / FoxIt

Company

symplr

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Symplr is a provider of healthcare governance, risk, and compliance solutions and services.

H1B Sponsorship

symplr has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (3)
2023 (1)
2022 (6)
2021 (1)
2020 (6)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Charlesbank Capital PartnersPamlico Capital
2022-01-05Private Equity
2021-07-12Private Equity
2018-10-23Acquired

Leadership Team

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Hugo Doetsch
Chief Financial Officer
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Patrick Birmingham
Executive Vice President, Credentialing Operations
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Company data provided by crunchbase