Payer Enrollment Coordinator at A-Line Staffing Solutions

A-Line Staffing is now hiring Payer Enrollment Coordinator in Cumberland, RI. The Payer Enrollment Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Payer Enrollment Coordinator position, please contact Sawyer at

Payer Enrollment Coordinator Compensation

• The pay for this position is $16.38 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Payer Enrollment Coordinator Highlights

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position is

Mon - Fri 7:30am - 4:00pm

It will be in office 4 days a week, and once trained there is an option to work from home on Fridays.

Payer Enrollment Coordinator Responsibilities

• The Payer Enrollment Coordinator will be responsible for ensuring corporate compliance with statutory requirements for Medicare, Medicaid, and Commercial enrollment for Clinics and Providers.
• This Individual will have the ability to work well with others; collaboratively with internal and external vendors and create partnerships through effective relationship building skills.
• This role will interact and work directly with new and existing Government /Commercial payers across the country.
• Analysis will include developing of provider and clinic level reporting insuring we are meeting all criteria for enrollment within our compliance policy for Government /Commercial. Payer Enrollment Coordinator will interface and work directly with the Providers, and also with Payer Relations and Revenue Cycle Operations Teams (Credentialing, Accounts Receivable, Billing, and Call Center) Clinical Ops Teams, and MinuteClinic Field and Operations Management, in order to ensure integration of all processes.

Payer Enrollment Coordinator Requirements

• 2-5 years’ work experience with Government payers
• Adept at problem solving and decision-making skills
• Ability to work independently
• Proficient in Excel
• Proficient in Outlook
• Willingness to learn
• High School Diploma or GED
• Attendance is mandatory for the first 90 days

If you think this Payer Enrollment Coordinator position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

POSITION SUMMARY: This position is responsible, under the supervision of the Manager of the Payer Enrollment Dept. to:

• Ensuring timely and accurate processing of Payer Enrollment applications (Initial and Revalidations) for Clinics and Providers.

• Provide quality control for timely and accurate individual enrollment applications submitted for Medicare and Medicaid programs.

• Resolve claims issues for individual payers in corporate billing system.

• Researching, completing and maintaining compliance with individual Government payers through credentialing, re-credentialing and audit processes and procedures.

• Contact Providers when Revalidation notices are received in order to obtain signature pages and validate current general information. Interact with the field (SPM and CPM’s) in regards to escalation notices.

• The Payer Enrollment Coordinator will be responsible for identifying and quantifying trends/issues and then effectively communicating them to the appropriate members of the management team along with what the potential impact could be.

• Minimize denials and deactivation of government applications where applicable to reduce key metrics including DSO, cost to collect, percent of aged claims, and Bad Debt.

• Update Credentialing and Billing systems with Provider information upon inquiry or receipt from Government /Commercial payers.