Spectrum Medical Partners
Payor Enrollment Specialist
Spectrum Medical Partners
Remote work‑from‑home position for Florida residents with experience of Florida payors.
Pay Range Base pay range: $50,000.00/yr - $54,000.00/yr. This range is provided by Spectrum Medical Partners. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Key Responsibilities
Manage and maintain enrollment for providers and the practice with all applicable payors and networks.
Prepare and complete credentialing applications (initial and re‑credentialing) for Medicare, Medicaid, TRICARE, and commercial payors.
Maintain provider profiles in CAQH, PECOS, and other payor portals.
Serve as primary point of contact with payor credentialing and contracting teams to resolve discrepancies and accelerate approvals.
Track application statuses, follow up on outstanding items, and communicate updates to providers and internal stakeholders.
Monitor and track all credentialing and enrollment deadlines, renewals, re‑validations, and re‑appointments.
Maintain accurate credentialing databases and records, ensuring compliance with internal and external audit standards.
Generate credentialing reports for leadership, compliance, and operational teams.
Collaborate with revenue cycle, HR, and operations to support provider onboarding.
Identify and implement workflow improvements to streamline credentialing and enrollment processes.
Ensure adherence to regulatory and payor credentialing standards and timelines.
Required Qualifications
3+ years of progressive experience in provider credentialing and payor enrollment, preferably in multi‑specialty ambulatory settings or large practices.
High school diploma or GED required; Associate’s degree or higher in healthcare administration, business, or related field preferred.
Proficiency with CAQH ProView, Medicare PECOS, and major commercial payor portals.
Strong organizational and communication skills.
Detail‑oriented, able to manage multiple deadlines and complex documentation.
Certified Provider Credentialing Specialist (CPCS) through NAMSS preferred.
Seniority Level Mid‑Senior level
Employment type Full‑time
Job function Other
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Remote work‑from‑home position for Florida residents with experience of Florida payors.
Pay Range Base pay range: $50,000.00/yr - $54,000.00/yr. This range is provided by Spectrum Medical Partners. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Key Responsibilities
Manage and maintain enrollment for providers and the practice with all applicable payors and networks.
Prepare and complete credentialing applications (initial and re‑credentialing) for Medicare, Medicaid, TRICARE, and commercial payors.
Maintain provider profiles in CAQH, PECOS, and other payor portals.
Serve as primary point of contact with payor credentialing and contracting teams to resolve discrepancies and accelerate approvals.
Track application statuses, follow up on outstanding items, and communicate updates to providers and internal stakeholders.
Monitor and track all credentialing and enrollment deadlines, renewals, re‑validations, and re‑appointments.
Maintain accurate credentialing databases and records, ensuring compliance with internal and external audit standards.
Generate credentialing reports for leadership, compliance, and operational teams.
Collaborate with revenue cycle, HR, and operations to support provider onboarding.
Identify and implement workflow improvements to streamline credentialing and enrollment processes.
Ensure adherence to regulatory and payor credentialing standards and timelines.
Required Qualifications
3+ years of progressive experience in provider credentialing and payor enrollment, preferably in multi‑specialty ambulatory settings or large practices.
High school diploma or GED required; Associate’s degree or higher in healthcare administration, business, or related field preferred.
Proficiency with CAQH ProView, Medicare PECOS, and major commercial payor portals.
Strong organizational and communication skills.
Detail‑oriented, able to manage multiple deadlines and complex documentation.
Certified Provider Credentialing Specialist (CPCS) through NAMSS preferred.
Seniority Level Mid‑Senior level
Employment type Full‑time
Job function Other
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