Payor Enrollment Specialist

Join a Leader in Healthcare Operations

At IntraNerve Neuroscience (INN), we are committed to delivering high-quality neuroscience services while ensuring efficient and compliant operations behind the scenes. As a Payer Enrollment Specialist, you will play a critical role in managing provider enrollment, recredentialing, and contracting with commercial and government payers—helping to support the accuracy, efficiency, and success of our billing and revenue cycle processes.

Since 2010, INN has been accredited by The Joint Commission and is recognized as a trusted provider of neuroscience services across the country. Our commitment to excellence, compliance, and continuous improvement ensures that we remain at the forefront of the field.

What Makes INN Different?

• Award-Winning Workplace – Recognized for Professional Development, Employee Well-being, Appreciation, and Remote Work
• Commitment to Excellence – We maintain high standards in operational efficiency, compliance, and payer relations
• Integrity & Professionalism – We prioritize ethical business practices, accuracy, and accountability in every aspect of our work
• Collaboration & Support – Work with a dedicated team of billing, credentialing, and contracting professionals
• Innovation in Healthcare Operations – We continuously refine our processes to enhance efficiency and reimbursement outcomes

Why Consider INN?

• Privately Owned, Mission-Driven – A focus on service quality, compliance, and efficiency over corporate bureaucracy
• Opportunities for Professional Development – Expand your expertise in payer enrollment, credentialing, and healthcare administration
• Impactful Work – Play a key role in ensuring seamless revenue processes that support patient care
• Resources & Support – Work with state-of-the-art payer portals, EDI systems, and experienced operational teams
• Competitive Compensation – Salary is based on experience and credentials, offering a highly competitive pay structure

If you have experience in provider enrollment, credentialing, or payer relations and are looking for an opportunity with a company that values accuracy, collaboration, and efficiency, we encourage you to apply. Join a team where your expertise directly supports the success of our healthcare services.

Key Responsibilities

• Provider Enrollment and Re-enrollment:
  • Prepare and submit provider enrollment applications to Medicare, Medicaid, Managed Care plans, and commercial insurance plans.
  • Manage recredentialing and revalidation processes for the group, ensuring continuous active status with payers.
  • Follow up with payers to track application statuses, resolve issues, and secure network participation.
• Data and Documentation Management:
  • Maintain accurate and up-to-date provider data in payer portals and internal databases.
  • Manage CAQH profiles, including initial setup, updates, and re-attestations.
• Payer and Client Communication:
  • Establish and maintain relationships with payer Provider Relations Representatives and health plan contacts.
  • Serve as the primary point of contact for enrollment, providing regular updates on enrollment status and addressing inquiries or claim denials related to credentialing.
  • Collaborate with billing staff to resolve payer-related issues, such as authorization problems or participation status discrepancies.
• Coordination and Collaboration:
  • Work with internal departments, including billing, credentialing, and contracting teams, to support enrollment and reimbursement processes.
  • Provide status reports to internal teams as necessary.
• Compliance and Reporting:
  • Ensure all enrollment activities comply with federal, state, and department guidelines.
  • Prepare detailed reports and maintain documentation to track enrollment timelines.
  • Research payer policies and stay informed about updates to enrollment processes across multiple states.

Knowledge, Skills, Abilities and Other Characteristics

• Strong knowledge of provider enrollment processes for Medicare, Medicaid, Managed Care plans, and commercial payers.
• Familiarity with CAQH, NPPES, PECOS, and payer portals.
• Familiarity with Electronic Data Interchange (EDI) systems.

Education and Experience

• Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field (preferred).
• 3 years of experience in provider enrollment, credentialing, or payer relations (preferred).

Physical Demands

• Prolonged periods of sitting at a desk and working on a computer.
• Manual dexterity required for keyboarding and other manual tasks.
• Must be able to lift up to 10 lbs at a time.

Applications for this position are accepted on an ongoing basis. The posting will remain open until the position is filled. Interested candidates are encouraged to apply the same day they view this posting.

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance