Fairview Health Services
Payer Enrollment Specialist
Fairview Health Services, Saint Paul, Minnesota, United States, 55199
Job Overview
Fairview is seeking a highly organized and detail‑oriented Payer Enrollment Specialist to support the onboarding and enrollment of more than 300 physicians and advanced practice providers. This role ensures accurate provider data, timely payer enrollment, and seamless coordination with internal teams and external health plans. Your work directly impacts Fairview’s ability to deliver accessible, high‑quality care across Minnesota.
Position Summary The Payer Enrollment Specialist manages provider data systems, oversees third‑party payer enrollment processes, and serves as a key liaison between Fairview and contracted health plans. This position ensures providers are enrolled efficiently and accurately, enabling timely reimbursement and uninterrupted patient care.
Shift:
Day
Hours:
Full time 80 hours every two weeks.
Provider Enrollment & Credentialing Support
Coordinate and submit enrollment applications to third‑party payers for new and existing providers
Track enrollment progress, renewals, and re‑certifications across all contracted health plans
Ensure timely receipt of provider numbers and effective dates
Data & Database Management
Maintain accurate provider information, including payer IDs, credentialing status, and site affiliations
Identify and resolve missing or incomplete provider data
Ensure data integrity across internal systems and documentation repositories
Process Coordination & Communication
Facilitate smooth documentation flow during provider onboarding
Provide timely employment notifications to health plans
Prepare and distribute summaries related to provider enrollment and credentialing status
Maintain comprehensive electronic and physical files for all employed providers
Internal Resource & Cross‑Functional Support
Serve as a subject‑matter resource for Fairview teams regarding payer enrollment processes
Document workflows and maintain up‑to‑date process guides
Generate ad hoc reports to support operational needs
Commitment to Service
Demonstrate cultural awareness and adapt communication and service approaches to meet the needs of diverse populations served
Required Qualifications
Bachelor’s degree OR equivalent work experience
Minimum of 1 year of experience in healthcare administration, provider enrollment, credentialing, or a related field
Strong computer proficiency
Excellent communication and customer service skills
High attention to detail and accuracy
Strong organizational and problem‑solving abilities
Preferred Qualifications
3+ years of experience in provider enrollment, payer credentialing, or healthcare operations
Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short‑term and long‑term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract
Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign‑on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
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Position Summary The Payer Enrollment Specialist manages provider data systems, oversees third‑party payer enrollment processes, and serves as a key liaison between Fairview and contracted health plans. This position ensures providers are enrolled efficiently and accurately, enabling timely reimbursement and uninterrupted patient care.
Shift:
Day
Hours:
Full time 80 hours every two weeks.
Provider Enrollment & Credentialing Support
Coordinate and submit enrollment applications to third‑party payers for new and existing providers
Track enrollment progress, renewals, and re‑certifications across all contracted health plans
Ensure timely receipt of provider numbers and effective dates
Data & Database Management
Maintain accurate provider information, including payer IDs, credentialing status, and site affiliations
Identify and resolve missing or incomplete provider data
Ensure data integrity across internal systems and documentation repositories
Process Coordination & Communication
Facilitate smooth documentation flow during provider onboarding
Provide timely employment notifications to health plans
Prepare and distribute summaries related to provider enrollment and credentialing status
Maintain comprehensive electronic and physical files for all employed providers
Internal Resource & Cross‑Functional Support
Serve as a subject‑matter resource for Fairview teams regarding payer enrollment processes
Document workflows and maintain up‑to‑date process guides
Generate ad hoc reports to support operational needs
Commitment to Service
Demonstrate cultural awareness and adapt communication and service approaches to meet the needs of diverse populations served
Required Qualifications
Bachelor’s degree OR equivalent work experience
Minimum of 1 year of experience in healthcare administration, provider enrollment, credentialing, or a related field
Strong computer proficiency
Excellent communication and customer service skills
High attention to detail and accuracy
Strong organizational and problem‑solving abilities
Preferred Qualifications
3+ years of experience in provider enrollment, payer credentialing, or healthcare operations
Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short‑term and long‑term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract
Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign‑on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
#J-18808-Ljbffr