Payer Operations Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Execute payer contracting, credentialing, and enrollment activities, which includes preparing and submitting payer applications as well as tracking them through the approval process.

• Maintain precise and current trackers for payer enrollment, credentialing, contracting, and provider readiness.

• Follow up with payers via phone, email, and payer portals to confirm the status of applications, resolve any deficiencies, and finalize outstanding items.

• Take ownership of assigned applications and operational tasks from start to finish.

• Monitor and report on application aging, payer turnaround times, deficiencies, approval rates, and provider readiness.

• Identify repetitive, manual, and error-prone procedures within payer and credentialing workflows.

• Develop and implement AI-driven workflows and automation solutions.

• Create standardized templates, trackers, documentation, and dashboards.

• Test new tools and consistently seek improvements in workflows.

• Collaborate with Clinical Operations, Product, Compliance, and other internal teams.

• Assist in establishing structure and processes within a dynamic function.

⛳️ Requirements

• 2–4 years of professional experience in a fast-paced startup, consulting, strategy, operations, or a similarly high-growth setting.

• Proven experience in building, implementing, or significantly enhancing automated workflows using AI and/or automation tools.

• Ability to provide specific examples of processes that have been automated, streamlined, or redesigned.

• Strong operational acumen and problem-solving capabilities.

• Excellent written and verbal communication skills.

• Comfortable with persistent outbound follow-up via phone and email.

• Exceptional attention to detail and the ability to manage multiple workstreams, trackers, deadlines, and priorities simultaneously.

• Proficient in Excel and/or Google Sheets.

• Self-motivated and capable of owning tasks from initial assignment to resolution with minimal supervision.

• Comfortable working in a changing startup environment.

• Curious, adaptable, and able to quickly learn new systems and technologies.

• Experience in healthcare payer or credentialing is valuable but not mandatory.

• Preferred experience with revenue cycle management, payer enrollment, provider credentialing, CAQH ProView, payer credentialing/enrollment portals, behavioral health, telehealth, multi-state healthcare operations, NPI, DEA, automated workflows, dashboards, reporting tools, cross-functional coordination, and offshore or outsourced teams.

🏝️ Benefits

• Comprehensive healthcare coverage.

• Opportunities for professional growth and development.

• Flexible work arrangements.

• Collaborative and innovative work environment.