[Hiring] Senior Payer Enrollment Specialist @US Fertility

Role Description

We have an immediate opening for a Senior Payer Enrollment Specialist to join our remote team at US Fertility .

Schedule: Monday through Friday, from 7:30 AM to 4:30 PM Eastern Time

Compensation: $55,000 to $65,000 per year (commensurate with experience)

This role provides the opportunity to grow within a nationally respected organization while remaining closely connected to the patients and teams you support every day.

In this role, the Senior Payer Enrollment Specialist will:

• Manage initial and recredentialing payer enrollment for groups, facilities, physicians, and APPs across insurance plans
• Coordinate the addition of new service locations and maintain accurate payer contract participation
• Manage monthly payer roster submissions and maintain efficient enrollment workflows, policies, and procedures
• Utilize payer portals, including Availity, UHC, Kaiser, and LexisNexis, to manage enrollment and provider data
• Maintain accurate provider, practice, and group information across NPPES, CAQH, payer portals, and directories
• Conduct quarterly provider data attestations and validate demographic and participation information
• Audit enrollment activities and documentation to ensure accuracy, compliance, and adherence to established processes
• Research and resolve payer enrollment issues while ensuring provider information meets payer and organizational requirements
• Coordinate malpractice insurance certificates and annual Certificates of Insurance (COI) renewals
• Support, train, and mentor the payer enrollment team while contributing to departmental initiatives and special projects
• Identify and implement process improvements that enhance enrollment efficiency, accuracy, and overall team performance

Qualifications

• An associate degree and three years of payer enrollment experience, or five years of experience in lieu of a degree; bachelor’s degree preferred
• Prefer CPCS, CPES, RHIA, or RHIT certification; CPCS required within two years if not already certified
• Knowledge of payer enrollment, provider participation, and applicable regulatory requirements
• Proficiency with Microsoft Office, CAQH ProView, NPPES, OIG, and payer portals
• Strong attention to detail, organization, and documentation skills
• Effective and professional communication with internal and external stakeholders
• Ability to maintain confidentiality when handling sensitive provider and organizational information
• Ability to research and resolve payer enrollment and provider data issues effectively
• Ability to manage multiple priorities and deadlines in a fast-paced environment
• Strong customer service, problem-solving, teamwork, and adaptability

Benefits

• Medical, dental, and vision insurance
• 401(k) with company match
• Tuition assistance and professional development support
• Performance-based bonus opportunities
• Generous paid time off, paid holidays, and paid parental leave
• Life and disability benefits
• Fertility Discount Program
• Employee wellness and recognition programs