Payor Enrollment Specialist (SC Remote)

Hourly Compensation Range: $22.00 - $25.00 per hour (based on experience) + Monthly Bonus Eligibility
Job Type: Hourly, Non-Exempt, Full-Time, Benefit Eligible
Profession: Revenue Cycle Management / Healthcare Administration
Location: Remote - Only candidates within reasonable commuting distance of our Greenville, SC Corporate Headquarters will be considered, in an effort to accommodate occasional in-office needs as requested.
Travel: May require occasional travel to Corporate Headquarters in Greenville, SC.

Join a Leading Healthcare Organization Supporting Women's Care Nationwide

OB Hospitalist Group (OBHG) is seeking a detail-oriented Payor Enrollment Specialist to join our Revenue Cycle Management team. This position plays a critical role in ensuring our healthcare providers are accurately enrolled and credentialed with Medicaid, Managed Care, and commercial insurance payors, supporting uninterrupted patient care and provider reimbursement.

If you thrive in a fast-paced healthcare administration environment, possess strong organizational skills, and enjoy managing complex enrollment and credentialing processes, we encourage you to apply.

About the Role

The Payor Enrollment Specialist is responsible for processing provider enrollment, credentialing, and re-credentialing applications while maintaining accurate provider records and managing relationships with insurance payors, healthcare facilities, and internal stakeholders. This role requires excellent attention to detail, strong follow-through, and the ability to manage multiple priorities while meeting established turnaround times and quality standards.

Key Responsibilities

Provider Enrollment & Credentialing

• Prepare, submit, and track provider enrollment applications for Medicaid, Managed Care, and other insurance payors.
• Process credentialing and re-credentialing applications for healthcare providers.
• Manage payer-specific enrollment requirements across multiple facilities and contracts.
• Monitor credentialing and enrollment application statuses and follow up as needed.

Provider Data Management

• Maintain provider credentialing records and databases.
• 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.

Stakeholder Communication

• Build and maintain professional relationships with providers, payors, hospitals, and credentialing contacts.
• Respond promptly to credentialing and enrollment requests.
• Coordinate signature requests and ensure timely completion of required documentation.
• Escalate unresolved provider documentation issues when necessary.

Compliance & Quality

• Ensure all Protected Health Information (PHI) is handled securely and in compliance with company standards.
• Support compliance initiatives by communicating credentialing issues and status updates appropriately.
• Meet established accuracy and turnaround-time expectations.
• Participate in credentialing committee activities as needed.

Required Qualifications

• 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.

Preferred Qualifications

• Some college coursework or equivalent professional experience.
• Understanding of medical terminology.
• CPCS (Certified Provider Credentialing Specialist) certification.
• Experience maintaining provider credentialing databases and CAQH profiles.
• Experience working in healthcare credentialing, enrollment, or revenue cycle operations.

What You'll Bring

• Strong analytical and problem-solving abilities.
• Exceptional attention to detail and data accuracy.
• Ability to work independently in a remote environment.
• Customer-service mindset when interacting with providers and payors.
• Commitment to confident