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Obtelecare Payor Enrollment Specialist
6 days agoWhat's your preference?
Job Description
- Req#: OBTEL001984
- Prepare, submit, and track provider enrollment applications for Medicaid, Managed Care, and other insurance payors.
- Manage payer-specific enrollment requirements across multiple facilities and contracts.
- Monitor enrollment application statuses and follow up as needed.
- Update and manage provider CAQH profiles, licensure information, board certifications, and insurance documentation.
- Ensure provider rosters remain accurate and current.
- Maintain CRM records, mail logs, and utility logs.
- Build and maintain professional relationships with providers, payors, hospitals, and internal/external contacts.
- Respond promptly to payor enrollment requests.
- Coordinate signature requests and ensure timely completion of required documentation.
- Escalate unresolved provider documentation issues when necessary.
- Ensure all Protected Health Information (PHI) is handled securely and in compliance with company standards.
- Support compliance initiatives by communicating issues and status updates appropriately.
- Meet established accuracy and turnaround-time expectations.
- High School Diploma or equivalent required.
- 1+ years of payor enrollment experience, specifically with Medicaid and Managed Care payors.
- Strong organizational skills with exceptional attention to detail.
- Excellent verbal communication and professional telephone etiquette.
- Proficiency with Microsoft Office applications, including Word and Excel.
- Ability to manage multiple priorities while maintaining accuracy and meeting deadlines.
- Some college coursework or equivalent professional experience.
- Understanding of medical terminology.
- Experience maintaining provider credentialing databases and CAQH profiles.
- Experience working in healthcare credentialing, enrollment, or revenue cycle operations.
- Strong analytical and problem-solving abilities.
- Exceptional attention to detail and data accuracy.
- Ability to work independently in a remote environment.
- Customer-service mindset when interacting with providers and payors.
- Commitment to confidentiality, compliance, and quality outcomes.
- A mission based company with an amazing company culture.
- Paid time off & holidays so you can spend time with the people you love.
- Medical, dental, and vision insurance for you and your loved ones.
- Health Savings Account (with employer contribution) or Flexible Spending Account options.
- Paid Parental Leave
- Employer Paid Basic Life and AD&D Insurance.
- Employer Paid Short- and Long-Term Disability.
- Optional Short Term Disability Buy-up plan.
- 401(k) Savings Plan, with ROTH option.
- Legal Plan.
- Identity Theft Services.
- Mental health support and resources.
- Employee Referral program - join our team, bring your friends, and get paid.
Payor Enrollment Specialist (Obtelecare focused)
Hourly Compensation Range: $22.00 - $24.00 per hour (based on experience) + Monthly Bonus Eligibility
Job Type: Hourly, Non-Exempt, Full-Time, Benefit Eligible
Profession: Revenue Cycle Management / Healthcare Administration
Location: Remote - Only candidates within reasonable commuting distance of our Greenville, SC Corporate Headquarters will be considered, in an effort to accommodate occasional in-office needs as requested.
Travel: May require occasional travel to Corporate Headquarters in Greenville, SC.
Join a Leading Healthcare Organization Supporting Women's Care Nationwide
OB Hospitalist Group (OBHG) is seeking a detail-oriented Payor Enrollment Specialist to join our Revenue Cycle Management team. This position plays a critical role in ensuring our Obtelecare healthcare providers are accurately enrolled and credentialed with Medicaid, Managed Care, and commercial insurance payors, supporting uninterrupted patient care and provider reimbursement.
If you thrive in a fast-paced healthcare administration environment, possess strong organizational skills, and enjoy managing complex enrollment and credentialing processes, we encourage you to apply.
About the Role
The Payor Enrollment Specialist is responsible for processing provider enrollment applications while maintaining accurate provider records and managing relationships with insurance payors, healthcare facilities, and internal stakeholders. This role requires excellent attention to detail, strong follow-through, and the ability to manage multiple priorities while meeting established turnaround times and quality standards.
Key Responsibilities
Provider Enrollment
At OB Hospitalist Group, we are dedicated to improving outcomes for mothers and babies nationwide. Our team members play a vital role in supporting healthcare providers and ensuring operational excellence across our organization. We offer competitive compensation, comprehensive benefits, professional growth opportunities, and a collaborative culture where your contributions make a meaningful impact.
What We Offer - The Good Stuff:
OB Hospitalist Group is an Equal Opportunity Employer and values diversity in the workplace.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.About the company
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