Payor Enrollment Coordinator

Select Medical Outpatient Division

Payor Enrollment Coordinator

3820 American Drive

Plano, Texas 75075

Full Time

(On-Site/Hybrid/Remote option available for right candidate)

M-F 7:30am-4:00pm

Starting pay $20/hour

Diverse Health Benefit Packages, PTO & EID Leave, 401K company match & more

*Are you an individual looking to continue your career on the business side of healthcare?

* Have you worked in credentialing, payor enrollment, or do you have other comparable healthcare experience?

*Do you want to work for a company that is devoted to helping others and achieving outcomes that improve quality of life?

Then this might be an opportunity for you! 

Watch the videos to see what it is like to work for Select Medical.

• Manage all phases of the Non-Delegates Payor Enrollment process for providers and facilities.
• Make determinations as to why claims are rejected and partner with external sources to determine the best resolution.
• Partner with internal resources (Contracting department) to determine the payor credentialing requirements.
• Understand all payors and their requirements in order to build relationships within a specific territory so as to know what questions to ask and from whom to get resolutions.
• Review all contracting for accuracy and partner with payors to ensure the proper credentialing status.
• Complete Payor Enrollment and re-credentialing for facilities and practitioners with all applicable, contracted, Non-Delegated Payors.
• Work with CVO Coordinators for the collection of all payor enrollment requirements such as signature pages, state licenses, proof of liability, etc.
• Complete and track all health plan credentialing and enrollment for practitioners and facilities.
• Serve as a company source of information regarding the status of non-delegated payor credentialing activity.
• Maintain the credentialing database with relevant payor tracking and data.
• Monitor provider and facility status in both internal and external data systems relating to non-delegated payor enrollment.
• Maintain all payor enrollment portals such as CAQH, with current information, such as contact information, licensure effective dates and current certificate of liability data.

Minimum Requirements:

• At least 2 years experience in the credentialing field or related healthcare field.
• Proficient in Windows (Word, Excel, and Access).
• Ability to be professionally assertive with both internal and external partners to be influential in finding resolutions.
• Strong oral and written communication skills with the ability to interact professionally and positively within all levels of the organization.
• Detail oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements.
• Professional with the ability to work well independently as well as collaboratively with a team.

Preferred Qualifications:

• Experience working in a hospital and/or with Medicare.
• Experience in payor enrollment, facility enrollment and Medicare/Medicaid.
• Knowledge of credentialing processes, terminology and NCQA standards.
• Strong analytical skills, including process improvement and problem resolution.

Select Medical strives to provide our employees with work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors. Other benefits include:

• An extensive and thorough orientation and training program.
• Develop collaborative relationships with multiple departments on campus.
• Paid Time Off (PTO) and Extended Illness Days (EID).
• Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
• 401(k) retirement plan with company match.
• Short and Long Term Disability.
• Personal and Family Medical Leave.

Equal Opportunity Employer/including Disabled/Veterans