[Hiring] Payer Enrollment and Contracting Specialist @PT Solutions Physical Therapy

Role Description

The Payer Enrollment and Contracting Specialist provides critical administrative support to ensure our PT Solutions therapists and clinics are properly contracted and enrolled with commercial and government health insurance plans. Additionally, they will act as a key support resource for the revenue cycle staff by proactively troubleshooting day-to-day issues to prevent reimbursement denials and optimize reimbursement.

Qualifications

• Knowledge of commercial and governmental reimbursement methodologies and payer contract terms.
• Strong critical thinking and troubleshooting abilities to resolve payer contracting and enrollment obstacles independently.
• Experience with professional credentialing and payer enrollment.
• Experience with CAQH, PECOS and payer enrollment software is highly desirable.
• A service-oriented mindset with the ability to effectively support and collaborate with revenue cycle colleagues.
• Strong verbal and written communication skills for professional interaction with clinical providers, revenue cycle leaders and insurance representatives.

Requirements

• High School Diploma or equivalent required.
• Associate’s or bachelor’s degree in healthcare administration or a related field is a plus.
• 5-7 years of experience in a healthcare administrative setting, ideally within payer contracting, provider enrollment, or revenue cycle operations.
• Service in the military is highly desirable.

Benefits

• Compensation: $60,000-70,000 annually.
• Any posted pay range considers a wide range of compensation factors, including candidate background, experience, and work location, while also allowing for salary growth within the position.

Company Description

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.

As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact. Let’s go further together and transform care.

Join the #PTSLife today! To see what #PTSLife is like, visit Instagram, Facebook, and LinkedIn.