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Payer Enrollment Jobs (NOW HIRING)

Payer Enrollment Specialist Full Time Columbus, OH AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions, with the goal of making world ...

The Payer Enrollment Specialist is responsible for ensuring all dental providers and offices are accurately enrolled with insurance payers. This role manages new enrollments and reenrollment for ...

None The Payer Enrollment Specialist is responsible for ensuring the timely and accurate enrollment of healthcare providers with major insurance vendors for a moderately sized medical group. This ...

Payer Enrollment Specialist Full Time Columbus, OH AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions, with the goal of making world ...

None The Payer Enrollment Specialist is responsible for ensuring the timely and accurate enrollment of healthcare providers with major insurance vendors for a moderately sized medical group. This ...

The Payer Enrollment Specialist is responsible for ensuring all dental providers and offices are accurately enrolled with insurance payers. This role manages new enrollments and reenrollment for ...

The Payer Enrollment Specialist is responsible for ensuring all dental providers and offices are accurately enrolled with insurance payers. This role manages new enrollments and reenrollment for ...

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Payer Enrollment information

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$77.4K

$117.5K

How much do payer enrollment jobs pay per year?

As of Jun 10, 2026, the average yearly pay for payer enrollment in the United States is $77,389.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $116,500.00 per year, depending on experience, location, and employer.

What is the difference between Payer Enrollment vs Payer Credentialing?

AspectPayer EnrollmentPayer Credentialing
DefinitionThe process of registering with insurance payers to become an approved providerThe verification of a provider's qualifications, licenses, and credentials to ensure they meet payer standards
FocusEstablishing provider eligibility with payersVerifying provider qualifications and credentials
Work EnvironmentAdministrative, insurance, healthcare officesHealthcare facilities, provider offices, credentialing agencies
Required CredentialsLicenses, certifications, provider NPILicenses, certifications, education credentials

While payer enrollment involves registering with insurance companies to get approved as a provider, payer credentialing focuses on verifying the provider's qualifications and credentials. Both roles are essential in the insurance and healthcare industry, often overlapping but serving different purposes in the provider onboarding process.

What are the key skills and qualifications needed to thrive in Payer Enrollment, and why are they important?

To thrive in Payer Enrollment, you need a solid understanding of healthcare credentialing, regulatory compliance, and provider data management, often supported by a background in healthcare administration or related fields. Familiarity with credentialing software, CAQH, PECOS, and payer portals is typically required, along with knowledge of relevant industry standards. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for managing deadlines and coordinating with providers and payers. These capabilities ensure accurate, timely enrollment, minimize claim denials, and uphold provider eligibility—critical for efficient healthcare operations.

What are some common challenges faced in a Payer Enrollment role and how can they be managed?

Professionals in Payer Enrollment often encounter challenges such as navigating complex and varying payer requirements, ensuring timely submission of credentialing documents, and keeping up with frequent regulatory changes. Effective organization, attention to detail, and proactive communication with both internal teams and external payers are crucial for success. Leveraging technology, such as credentialing software, can help streamline workflows and reduce errors, while ongoing training ensures team members stay current on industry best practices.

What is payer enrollment?

Payer enrollment is the process in which healthcare providers apply to become recognized by insurance companies (payers) so they can bill and receive payment for services rendered to insured patients. This involves submitting detailed credentials, licenses, and other required documentation to the payer for approval. Successful payer enrollment is essential for providers to participate in insurance networks and receive reimbursements. The process can vary by payer and often requires ongoing management to keep credentials current and compliant.
More about Payer Enrollment jobs
What are the most commonly searched types of Payer Enrollment jobs? The most popular types of Payer Enrollment jobs are:
What states have the most Payer Enrollment jobs? States with the most job openings for Payer Enrollment jobs include:
Infographic showing various Payer Enrollment job openings in the United States as of June 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 79% Physical, 1% Hybrid, and 20% Remote job distribution, with an average salary of $77,389 per year, or $37.2 per hour.
Payer Enrollment Specialist

Payer Enrollment Specialist

AndHealth

Columbus, OH • On-site

Full-time

Medical, Dental, Vision, PTO

Posted 28 days ago


Job description

Payer Enrollment Specialist
Full Time
Columbus, OH
AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions, with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers, and independent practices to remove barriers to care to ensure all people have access to the care they deserve
We are seeking a dedicated Payer Enrollment Specialist who can play a key role in the full lifecycle of payer enrollment and credentialing processes for all AndHealth licensed and certified healthcare professionals. This role will collaborate with internal teams and external partners to ensure compliance and uphold the highest standards of quality and patient safety.
Key Deliverables:
  • Ensure timely and accurate submission of payer enrollment and credentialing applications and packets.
  • Provide comprehensive support for credentialing activities, including tracking and reporting.
  • Maintain strong communication with payers and partners to facilitate enrollment and compliance.
  • Maintain accurate provider records, including licenses, certifications, and CAQH profiles, ensuring all required documentation remains current.

What you'll do in the role:
  • Support and coordinate payer enrollment activities for AndHealth's partners, ensuring timely and accurate submission of all payer enrollment documents to partners.
  • Accurately input and track payer enrollment statuses for all partners, maintaining comprehensive records for all activities.
  • Prepare and distribute reports on payer enrollment status and credentialing activities for internal use and external audits.
  • Establish and maintain effective communication with payer representatives and AndHealth's partners to resolve any issues related to payer enrollment and credentialing.
  • Create and maintain internal guides outlining payer enrollment processes and best practices.
  • Gain an in-depth understanding of the payer landscape in states where we are doing business, with an emphasis on Medicaid and the broader payer mix.
  • Support ongoing education and training of AndHealth staff regarding payer enrollment requirements, processes, and landscapes in states where we are doing business.
  • Maintain a highly organized system, inclusive of tracking mechanisms, for credentialing schedules, files, and documentation.
  • Provide periodic updates to Credentialing Lead and respective AndHealth teams on payer enrollment and credentialing statuses.
  • Assist the Credentialing Lead in all credentialing and re-credentialing activities , including primary source verifications, license renewals, CAQH profile updates, and preparation of applications for AndHealth providers, clinical pharmacists, pharmacy team members and other non-clinical staff.
  • Track and maintain all expirables including but not limited to licenses, certifications, registrations, and other required documentation.
  • Maintain knowledge of current partners, government agencies, and general requirements for credentialing AndHealth professionals.
  • Collaborate with legal and compliance to ensure adherence to relevant laws, regulations, and contractual obligations related to credentialing, licensure and payer enrollment.
  • Participate in internal and external partner-related meetings and discussions, providing appropriate and timely responses to payer enrollment and credentialing processes and timelines.
  • Assist with licensing activities and AndHealth staff profile management.
  • Support with special projects as needed.

Education & Licensure Requirements:
  • Bachelor's degree is preferred.

Other Skills or Qualifications:
  • 2+ years of experience credentialing in healthcare credentialing, payer enrollment, or experience working in a healthcare-related role.
  • Experience with credentialing under FQHC and HRSA standards is a plus.
  • You subscribe to and are willing to live our culture creator values.
  • Impeccable attention to detail and are attentive and present in your work.
  • Ability to thrive on change and can quickly adapt to evolving processes to continuously improve credentialing.
  • Organized with the ability to prioritize work based on changing and challenging deadlines.
  • Self-directed and able to work independently, as well as participate in group projects.
  • Ability to handle sensitive information with discretion and professionalism.
  • Excellent interpersonal, verbal, and written communication skills.
  • Proficiency in Microsoft Office, Google Workspace, and utilizing credentialing software and database systems.

Here's what we'd like to offer you:
  • Equal investment and support for our people and patients.
  • A fun and ambitious growing environment with a culture that takes on big things, takes risks, and learns quickly.
  • The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together.
  • A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer.
  • We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally.
  • Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Company, and Paid time off, Short- and Long-Term Disability, and more.

We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees. Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.