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Payer Enrollment Jobs (NOW HIRING)

Ascension

Senior Payer Enrollment Coordinator

$41K - $55K/yr

Credentialing and Payer Enrollment Schedule: Monday-Friday | Days | 8:00am-5:00pm central time Salary: $41,040.23-$55,531.47 #ACVS #LI-Remote How you'll make an impact in this role * Populates MD ...

Covenant Health

PAYER ENROLL SPEC - KBOS

Knoxville, TN · On-site

Overview Payer Enrollment Specialist, Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 ...

TEKsystems

Payer Enrollment Specialist

Rochester, NY

$16 - $18.50/hr

Description Position Summary We are seeking a detail-oriented Payer Enrollment Representative to support our Billing team with account verification, data processing, and patient information ...

TEKsystems

Payer Enrollment Representative

Rochester, NY

$16 - $18.50/hr

Enrolling new Doctors, nurses, PAs etc in different medical practices within Rochester Regional. Work with 20+ insurance companies to ensure accuracy of Doctors enrolled and how many nurses and PAs ...

Current Openings

Payor Enrollment Specialist

Tulsa, OK · On-site

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 responsible ...

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 ...

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Showing results 41-60

All JobsPayer Enrollment Jobs

Payer Enrollment information

See salary details

$27K

$77.4K

$117.5K

How much do payer enrollment jobs pay per year?

As of Aug 17, 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 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.

What are the key skills and qualifications needed to thrive in payer enrollment?

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 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.

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:

What job categories do people searching Payer Enrollment jobs look for?

The top searched job categories for Payer Enrollment jobs are:

Payer Enrollment jobs near you
Infographic showing various Payer Enrollment job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $77,389 per year, or $37.2 per hour.

Director of Credentialing and Payer Enrollment (4087)

Waco Family Medicine

Waco, TX • On-site

Full-time

Re-posted 10 days ago

Waco Family Medicine rating

6.4

Company rating: 6.4 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

PRIMARY DUTIES
Manage internal credentialing and privileging (C&P) process, including:
  • Ensure that all clinical staff are fully credentialed and privileged upon hire and that credentials and privileges are reviewed and renewed at least every 2 years
  • Ensure that clinical staff maintain valid, active licenses and registrations
  • Ensure C&P policy and procedures fulfill all HRSA and other applicable requirements
  • Ensure C&P process is streamlined and as efficient as possible for clinical staff and C&P committee
  • Supervise C&P staff and ensure that C&P committee operates effectively
  • Ensure optimal use of available technology (VerityStream) to support streamlined C&P process
  • Ensure that all required C&P documents are properly collected, reviewed and archived
  • Prepare for and participate in C&P audits and other reviews (e.g., HRSA OSV and FTCA site visits)

Manage payer enrollment process, including:
  • Establish and renegotiate payer contracts, including ensuring optimal payment rates
  • Clinic site enrollment and revalidation with CMS, Medicaid and commercial insurance
  • Clinician enrollment and revalidation with CMS, Medicaid and commercial insurance
  • Management of clinician CAQH profiles and other administrative requirements of payer enrollment
  • Creation and management of clinician and clinical site NPI numbers
  • Ongoing follow-up on payer enrollment delays and errors (e.g., inappropriate disenrollment)
  • Navigate CMS, TMHP and insurance company bureaucracies to effectively address payer enrollment issues and reduce lost revenue due to enrollment errors and delays
  • Create and implement payer enrollment procedures to ensure that all aspects of payer enrollment are performed promptly and accurately and that overall enrollment timeline is minimized
  • Supervise payer enrollment staff
  • Initially collaborate with third-party payer enrollment service while developing plan to promptly insource all payer enrollment activities
  • Collaborate with Director of Billing Operations to track and resolve denials related to payer enrollment
  • Provide payer enrollment status information to relevant stakeholders (practice managers, schedulers, etc.) to ensure patients are scheduled with in-network clinicians
  • Demonstrate a commitment to the mission, core values, and goals of Waco Family Medicine and its healthcare delivery, including the ability to deliver exceptional patient focus with quality, compassion, and respect
  • Other duties as assigned by supervisor

Director of Credentialing and Payer Enrollment
REPORTS TO: Chief Operating Officer
JOB SUMMARY: Director of Credentialing and Payer Enrollment
EDUCATION AND EXPERIENCE: Associate or bachelor's degree; advanced degree (e.g., MBA, MHA) preferred. Minimum of 2 years of experience in a related role; management experience strongly preferred.
SKILLS: Strong understanding of healthcare requirements related to credentialing and privileging of clinical staff as well as ability to navigate complex administrative requirements for enrolling clinical sites and staff with Medicare, Medicaid, and commercial insurance plans. Strong ability to manage multiple tasks, prioritize work efficiently and proactively follow up on unresolved issues. Excellent verbal and written communication skills to interact effectively with staff and payers. Attention to detail and strong analytical skills, including ability to navigate complex bureaucratic systems. Familiarity with or ability to quickly master credentialing software (VerityStream), electronic health record systems (Epic), and Microsoft Office suite. Commitment to providing excellent service to both internal and external stakeholders. Ability to analyze data, trends, and patterns. Skill in exercising initiative, judgment, discretion, and decision-making to achieve organizational objectives. Ability to understand and adhere to complex compliance requirements.
PHYSICAL AND MENTAL REQUIREMENTS:
  • Visual and auditory accuracy
  • Shift length: 8-9 hours
  • Indoor setting
  • Continuous use of computer and other technology
  • Long periods of sitting and walking
  • Frequent use of telephone
  • Continuous repetitive grasping and manipulation of both hands
  • Continuous conversational communication
  • Occasional reaching, standing, squatting, bending, kneeling, twisting and climbing
  • Occasionally carrying, lifting, pushing, and pulling up to 25 lbs.
  • Infrequent use of personal transportation (possess a valid Texas driver's license and appropriate liability insurance)
  • Occasionally working in confined, noisy, dusty areas
  • Understand/carry out simple/detailed, oral/written instructions
  • Memorize and retain instructions
  • Read and interpret detailed specifications.

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