Your job is more than a job
🌟 Behind Every Credentialed Provider Is Someone Who Makes It Happen!
Love checking things off your list? Have a knack for catching the little details everyone else misses? Get a strange sense of satisfaction from tracking down missing information and getting everything squared away?
We might have just the job for you!
As a Payor Enrollment Specialist at LCMC Health , you'll play an important role in making sure our healthcare providers are properly enrolled and credentialed with insurance payors so they can focus on what matters most—caring for patients.
From navigating insurance requirements to tracking applications and solving enrollment challenges, you'll help keep things moving behind the scenes.
If you're organized, detail-oriented, and love a good problem to solve, we'd love to meet you!
💼 What You'll Do
Coordinate provider enrollment, credentialing, and re-credentialing with Medicare, Medicaid, and commercial insurance payors
Track applications, approvals, revalidations, and deadlines to keep enrollment processes on schedule
Work directly with providers to gather accurate information and complete required documentation
Communicate with insurance payors to resolve enrollment issues, verify participation dates, and follow up on pending applications
Maintain accurate provider records, electronic files, and CAQH profiles
Partner with billing, coding, medical staff, and other teams to help prevent enrollment-related billing delays
Monitor enrollment statuses, identify outstanding issues, and prepare reports for leadership
Keep provider directories and enrollment information accurate and up to date
Stay informed about changing payor requirements, healthcare regulations, and NCQA standards
Help identify opportunities to improve processes and make enrollment workflows more efficient
⚡ What Makes You Great in This Role
You're the person who catches the missing detail before it becomes a bigger problem
You love staying organized and keeping multiple moving pieces on track
You're persistent when it comes to following up and getting answers
You can navigate deadlines, paperwork, and competing priorities without losing your cool
You're comfortable asking questions, researching requirements, and finding solutions
You work well independently but know the value of great teamwork
You understand that accuracy isn't just important—it's everything!
🧠 What You Bring
Strong organizational skills and exceptional attention to detail
Excellent written and verbal communication skills
Confidence using Microsoft Office, including Excel, Outlook, Word, and PowerPoint
Ability to maintain accurate records, databases, and documentation
Strong follow-up skills and the ability to manage multiple deadlines
Critical thinking and problem-solving abilities
Ability to work independently while maintaining confidentiality
Willingness to learn and navigate healthcare insurance enrollment requirements
📋 Minimum Requirements
High School Diploma or GED (or equivalent) OR 2+ years of experience in administrative support, insurance enrollment, payor credentialing, billing, or a related field
🎯 Why This Role Matters
When providers aren't properly enrolled with insurance payors, it can create delays, billing challenges, and unnecessary headaches for everyone involved.
That's where you come in!
Your attention to detail, persistence, and ability to keep things moving help ensure providers are ready to deliver care and the organization can process claims accurately.
You may not be the person patients see when they walk through our doors, but your work plays an important role in supporting the care they receive.
💙 Keep the details straight, the deadlines on track, and our providers ready to care for our community!
WORK SHIFT:
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