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Payer Enrollment Manager Jobs in Boca Raton, FL (NOW HIRING)

Credentialing Specialist

Davie, FL · Remote

$20 - $25/hr

... and payer enrollment activities. The ideal candidate will be highly organized, comfortable working in a fully remote environment, and skilled at managing large volumes of applications while ...

Ability to manage multiple full builds simultaneously, balancing short-term execution with ... payer models. * Healthcare experience, including new physician practice/office formation and/or ...

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Payer Enrollment Manager information

See Boca Raton, FL salary details

$33.7K

$82K

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How much do payer enrollment manager jobs pay per year?

As of Aug 22, 2026, the average yearly pay for payer enrollment manager in Boca Raton, FL is $81,971.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,900.00 and $110,600.00 per year, depending on experience, location, and employer.

What is a payer enrollment manager?

A Payer Enrollment Manager oversees the process of enrolling healthcare providers and organizations with insurance payers to ensure they can bill and receive payments for services rendered. This role involves managing credentialing documentation, maintaining compliance with regulatory requirements, and serving as a liaison between providers and insurance companies. Payer Enrollment Managers help streamline administrative processes, resolve enrollment issues, and keep up with changing payer policies to minimize delays in reimbursement.

What are some common challenges faced by a payer enrollment manager, and how can they be addressed?

Payer Enrollment Managers often encounter challenges such as navigating complex and varying payer requirements, ensuring timely submission of provider information, and managing communication between healthcare providers and insurance companies. Addressing these challenges typically involves staying up-to-date with payer policies, implementing robust tracking systems, and fostering strong relationships with both internal teams and external contacts. Proactive problem-solving and attention to detail are essential to prevent delays and maintain compliance, which ultimately supports smooth operations for the healthcare organization.

What are the key skills and qualifications needed to thrive as a payer enrollment manager, and why are they important?

To thrive as a Payer Enrollment Manager, you need a deep understanding of healthcare provider enrollment processes, regulatory compliance, and experience in medical credentialing, often supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with payer portals, credentialing software, and knowledge of relevant regulations such as CAQH and NPI systems are typically required. Attention to detail, strong organizational skills, and effective communication are essential soft skills for coordinating between providers, payers, and internal teams. These competencies are vital for ensuring timely and accurate provider enrollment, minimizing claim denials, and maintaining compliance within healthcare organizations.

What is the difference between Payer Enrollment Manager vs Payer Credentialing Specialist?

AspectPayer Enrollment ManagerPayer Credentialing Specialist
CredentialsTypically requires healthcare administration or related certifications, with experience in payer enrollmentOften requires similar credentials, focusing on credentialing and provider verification
Work EnvironmentManages enrollment processes, liaises with payers, and oversees team activitiesPerforms credentialing tasks, verifies provider credentials, and maintains provider files
Employer & Industry UsageCommon in healthcare organizations, insurance companies, and billing firmsFound in healthcare provider offices, credentialing firms, and insurance companies

The Payer Enrollment Manager oversees the entire payer enrollment process, managing teams and ensuring compliance, while the Payer Credentialing Specialist focuses on verifying provider credentials and maintaining accurate provider records. Both roles require similar certifications and work within healthcare and insurance settings, but their responsibilities differ in scope and focus.

What are popular job titles related to Payer Enrollment Manager jobs in Boca Raton, FL?

For Payer Enrollment Manager jobs in Boca Raton, FL, the most frequently searched job titles are:

What job categories do people searching Payer Enrollment Manager jobs in Boca Raton, FL look for?

The top searched job categories for Payer Enrollment Manager jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Payer Enrollment Manager jobs?

Cities near Boca Raton, FL with the most Payer Enrollment Manager job openings:

Infographic showing various Payer Enrollment Manager job openings in Boca Raton, FL as of June 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $81,971 per year, or $39.4 per hour.

Full-time

Re-posted 27 days ago


Job description

The Revenue Cycle Management Department at Northern Light Medical Management has an exciting opportunity for a highly motivated Payer Enrollment Coordinator with experience in insurance enrollment and revenue cycle management. We are a successful, growing, hospital-based Medical Management company looking for the perfect candidate who is dedicated to teamwork and operational excellence.

The incumbent will be responsible for facilitating the enrollment process for insurance plans on the payer side, ensuring that all necessary documentation is completed accurately and in a timely manner. The Payer Enrollment Coordinator will work closely with insurance providers and clients to ensure seamless communication and coordination throughout the enrollment process.

Responsibilities:

- Gather provider information & updates provider’s CAQH profiles

- Assist clients with completing enrollment forms and gathering required documentation

- Communicate with insurance providers to address any issues or discrepancies during the enrollment process

- Enroll group and providers with payers

- Must have knowledge and experience of payer enrollment requirements for in network & out of network providers

- Maintain updated records of client enrollment statuses and insurance information

- Collaborate with internal teams to ensure a smooth transition for clients between enrollment and service delivery

- Provide support and guidance to clients throughout the enrollment process, answering any questions or concerns they may have

- Stay up-to-date on industry trends and changes in insurance enrollment requirements and regulations

- Collaborate with the billing and claims teams to ensure accurate and timely processing of insurance claims

Qualifications:

- Degree or a combination of education and training

- Must have previous experience in insurance enrollment coordination and revenue cycle management

- Experience working with Credential Stream/Verity or other similar credentialing software

Knowledge of CAQH process

- Knowledge of State Medicaid requirements

- Strong attention to detail and the ability to work efficiently in a fast-paced environment

- Excellent communication and interpersonal skills

- Proficiency in Microsoft Office 365 applications and other relevant software programs

- Knowledge of insurance policies, procedures, and regulations

- Ability to multitask and prioritize workload effectively

This position is onsite 8am - 5pm, M - F at our Hollywood corporate office.

If you are a detail-oriented and organized individual with a passion for helping clients navigate the insurance enrollment process, we want to hear from you!

To learn more about Northern Light we encourage you to visit our website: www.northernlightmm.com.