Payor Enrollment Specialist

. Prepare, submit, and track provider enrollment applications for Medicaid, Managed Care, and other insurance payors .

Posted 10/23/2026full-timeGreenville • South Carolina • United StatesJunior💰 $22 - $24 per hourWebsite

Key responsibilities & impact

Prepare, submit, and track provider enrollment applications for Medicaid, Managed Care, and other insurance payors
Manage payer-specific enrollment requirements across multiple facilities and contracts
Monitor enrollment application statuses and follow up as needed
Update and manage provider CAQH profiles, licensure information, board certifications, and insurance documentation
Ensure provider rosters remain accurate and current
Maintain CRM records, mail logs, and utility logs
Build and maintain professional relationships with providers, payors, hospitals, and internal/external contacts
Respond promptly to payor enrollment requests
Coordinate signature requests and ensure timely completion of required documentation
Escalate unresolved provider documentation issues when necessary
Handle Protected Health Information securely and in compliance with company standards
Support compliance initiatives by communicating issues and status updates appropriately
Meet established accuracy and turnaround-time expectations

What you’ll need

High School Diploma or equivalent required
1+ years of payor enrollment experience, specifically with Medicaid and Managed Care payors
Strong organizational skills with exceptional attention to detail
Excellent verbal communication and professional telephone etiquette
Proficiency with Microsoft Office applications, including Word and Excel
Ability to manage multiple priorities while maintaining accuracy and meeting deadlines
Understanding of medical terminology preferred
Experience maintaining provider credentialing databases and CAQH profiles preferred
Experience working in healthcare credentialing, enrollment, or revenue cycle operations preferred
Strong analytical and problem-solving abilities
Ability to work independently in a remote environment
Customer-service mindset when interacting with providers and payors
Commitment to confidentiality, compliance, and quality outcomes
Must be within reasonable commuting distance of the Greenville, SC Corporate Headquarters
May require occasional travel to Corporate Headquarters in Greenville, SC

Comp & perks

Monthly Bonus Eligibility
Benefit eligible
Paid time off and holidays
Medical, dental, and vision insurance
Health Savings Account with employer contribution or Flexible Spending Account options
Paid Parental Leave
Employer Paid Basic Life and AD&D Insurance
Employer Paid Short- and Long-Term Disability
Optional Short Term Disability Buy-up plan
401(k) Savings Plan with ROTH option
Legal Plan
Identity Theft Services
Mental health support and resources
Employee Referral program with payment
Professional growth opportunities
Collaborative culture