Job Title: Payer Relations Specialist
Reports to: Payer Relations Manager
Employment: Full-Time, Hourly
Location: Maplewood, NJ; Remote Position
Company Summary:
StationMD is a telehealth company dedicated to serving individuals with intellectual and/or developmental disabilities (I/DD). All StationMD clinicians are board-certified and specially trained to treat individuals with I/DD. Clinicians are available 24/7 via telemedicine for urgent and non-urgent medical matters. StationMD also offers scheduled psychiatry visits via telemedicine to individuals with I/DD. In providing this suite of services, StationMD enables individuals with I/DD faster access to high-quality care and substantially reduces unnecessary medical costs.
Position Summary:
We are seeking a Payer Relations Credentialing Associate to assist with the process of enrolling healthcare providers with insurance companies, re-credentialing, updating databases, and problem-solving enrollment issues to ensure timely and accurate network participation. 
Responsibilities:
- Application Management: Prepare and submit initial and renewal credentialing/enrollment applications for providers (physicians, facilities, etc.) with commercial and government payers
- Follow-Up: Proactively track and follow up on application statuses, ensuring timely processing and resolving delays
- Data Management: Maintain accurate provider data within internal and external portals and databases for contracted and non-contracted payers
- Liaison: Serve as a contact for providers, internal teams, and insurance companies regarding credentialing and enrollment
- Compliance: Ensure adherence to payer requirements, policies, and regulatory standards
- Issue Resolution: Troubleshoot contracting processing issues by collaborating cross functionally to develop solutions
- Monitoring: Track provider licenses, certifications, and insurance expirations
Qualifications:
- Associate’s degree or equivalent experience in healthcare or business administration
- Minimum of 4 years of credentialing and payer enrollment experience
- Strong understanding of health insurance payors and reimbursement processes
- Experience with credentialing/payor enrollment tracking software (Medallion or similar system)
- Excellent written and verbal communication skills
- Strong organizational and follow-up skills
- Ability to analyze data and identify trends
- Excellent attention to detail and accuracy
- Energy and passion for increasing access to quality healthcare and improving the quality of life for individuals with Intellectual and Developmental Disabilities
StationMD is an equal opportunity employer.