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Payer Enrollment Manager Jobs (NOW HIRING)

Ventra Health, Inc.

Provider Enrollment Specialist

The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ... Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups ...

Ventra Health, Inc.

Provider Enrollment Specialist

The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ... Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups ...

Acentra Health

Provider Enrollment, Manager

Atlanta, GA · On-site

Maintain constant and open communication with payer representatives to ensure that providers enroll ... enrollment data. * Manage confidential information with discretion. * Establish protocols and ...

Covenant Health

PAYER ENROLL SPEC - KBOS

Knoxville, TN · On-site

This position is responsible for prioritizing and managing tasks in the Knoxville Business Office Services (KBOS), Billing Department regarding Out of State Medicaid Payer Enrollment, Hospital and ...

Covenant Health

PAYER ENROLL SPEC - KBOS

Knoxville, TN · On-site

This position is responsible for prioritizing and managing tasks in the Knoxville Business Office Services (KBOS), Billing Department regarding Out of State Medicaid Payer Enrollment, Hospital and ...

US Neuro LLC

Payor Enrollment Specialist

Tulsa, OK

Description US Neuro is a seeking Payer Enrollment Specialist to manage and expand our payment enrollment footprint throughout all clearinghouse and electronic claim systems. This position will be ...

US Neuro

Payor Enrollment Specialist

Tulsa, OK · On-site

Job Type Full-time Description US Neuro is a seeking Payer Enrollment Specialist to manage and expand our payment enrollment footprint throughout all clearinghouse and electronic claim systems. This ...

US Neuro

Payor Enrollment Specialist

Tulsa, OK · On-site

Job Type Full-time Description US Neuro is a seeking Payer Enrollment Specialist to manage and expand our payment enrollment footprint throughout all clearinghouse and electronic claim systems. This ...

TEKsystems

Payer Enrollment Representative

Rochester, NY · On-site

$16 - $18.50/hr

Enrolling new Doctors, nurses, PAs etc in different medical practices within Rochester Regional ... Ability to manage multiple priorities and work independently. Strong organizational and time ...

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Payer Enrollment Manager information

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$35.5K

$86.4K

$117K

How much do payer enrollment manager jobs pay per year?

As of Aug 29, 2026, the average yearly pay for payer enrollment manager in the United States is $86,379.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $116,500.00 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.

More about Payer Enrollment Manager jobs

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What are the most commonly searched types of Payer Enrollment jobs?

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What states have the most Payer Enrollment Manager jobs?

States with the most job openings for Payer Enrollment Manager jobs include:

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The top searched job categories for Payer Enrollment Manager jobs are:

Payer Enrollment Manager jobs near you
Infographic showing various Payer Enrollment Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $86,379 per year, or $41.5 per hour.

Provider Enrollment Specialist

Ventra Health, Inc.

Remote

Full-time

Re-posted 22 days ago

Ventra Health rating

8.0

Company rating: 8.0 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

125th of 499 rated business services

Job description

About Us
Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
Come Join Our Team!
  • As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards

Help Us Grow Our Dream Team - Join Us, Refer a Friend, and Earn a Referral Bonus!
Job Summary
  • The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website

Essential Functions and Tasks
  • Performs follow-up with market locations to research and resolve payer enrollment issues
  • Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues
  • Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications
  • Performs tracking and follow-up to ensure provider numbers are established and linked to the appropriate client group entity and proper software systems
  • Maintains documentation and reporting regarding payer enrollments in process.
  • Retains records related to completed CMS applications
  • Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team
  • Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups/providers as well as complete, submit, and track the required applications to maintain active enrollment and prevent deactivation
  • Maintains provider demographics in all applicable enrollment systems
  • Adds providers to all applicable systems and maintains information to ensure claims are held/released based on status of enrollment
  • Performs special projects and other duties as assigned

Education and Experience Requirements
  • Associate's degree (2 years), required and Bachelor's degree in any related field, preferred.
  • At least one (1) year of provider enrollment experience preferred.

Knowledge, Skills, and Abilities
  • Working knowledge of specific application requirements for Centers for Medicare & Medicaid Services (CMS), State Medicaid and all third-party payers including pre-requisites, forms required, form completion requirements, supporting documentation such as Drug Enforcement Agency Number (DEA), Curriculum Vitae (CV), and regulations.
  • Working knowledge of physician HIPAA Privacy & Security policies and procedures
  • Strong oral, written, and interpersonal communication skills
  • Strong word processing, spreadsheet, database, and presentation software skills
  • Strong detail orientation skills
  • Strong analytical skills
  • Strong decision-making skills
  • Strong problem-solving skills
  • Strong organizational skills
  • Strong time management skills
  • Ability to ensure the complex enrollment packages are complete and correct
  • Ability to work cohesively in a team-oriented environment
  • Ability to foster good working relationships with others both within and outside the organization
  • Ability to work independently and require little supervision, to focus on and accomplish tasks
  • Ability to maintain strict confidentiality with regards to protected provider and health information
  • Ability to take initiative and effectively troubleshoot while focusing on innovative solutions
  • Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately
  • Ability to remain flexible and work within a collaborative and fast paced environment
  • Ability to communicate with diverse personalities in a tactful, mature, and professional manner

Compensation
  • Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
  • This position is also eligible for a discretionary incentive bonus in accordance with company policies.

Ventra Health
Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.
Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

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