System Payor Enrollment Specialist

Your job is more than a job

🌟 Behind Every Credentialed Provider Is Someone Who Makes It Happen!

Love checking things off your list? Have a knack for catching the little details everyone else misses? Get a strange sense of satisfaction from tracking down missing information and getting everything squared away?

We might have just the job for you!

As a Payor Enrollment Specialist at LCMC Health, you'll play an important role in making sure our healthcare providers are properly enrolled and credentialed with insurance payors so they can focus on what matters most—caring for patients.

From navigating insurance requirements to tracking applications and solving enrollment challenges, you'll help keep things moving behind the scenes.

If you're organized, detail-oriented, and love a good problem to solve, we'd love to meet you!

💼 What You'll Do

• Coordinate provider enrollment, credentialing, and re-credentialing with Medicare, Medicaid, and commercial insurance payors
• Track applications, approvals, revalidations, and deadlines to keep enrollment processes on schedule
• Work directly with providers to gather accurate information and complete required documentation
• Communicate with insurance payors to resolve enrollment issues, verify participation dates, and follow up on pending applications
• Maintain accurate provider records, electronic files, and CAQH profiles
• Partner with billing, coding, medical staff, and other teams to help prevent enrollment-related billing delays
• Monitor enrollment statuses, identify outstanding issues, and prepare reports for leadership
• Keep provider directories and enrollment information accurate and up to date
• Stay informed about changing payor requirements, healthcare regulations, and NCQA standards
• Help identify opportunities to improve processes and make enrollment workflows more efficient

⚡ What Makes You Great in This Role

• You're the person who catches the missing detail before it becomes a bigger problem
• You love staying organized and keeping multiple moving pieces on track
• You're persistent when it comes to following up and getting answers
• You can navigate deadlines, paperwork, and competing priorities without losing your cool
• You're comfortable asking questions, researching requirements, and finding solutions
• You work well independently but know the value of great teamwork
• You understand that accuracy isn't just important—it's everything!

🧠 What You Bring

• Strong organizational skills and exceptional attention to detail
• Excellent written and verbal communication skills
• Confidence using Microsoft Office, including Excel, Outlook, Word, and PowerPoint
• Ability to maintain accurate records, databases, and documentation
• Strong follow-up skills and the ability to manage multiple deadlines
• Critical thinking and problem-solving abilities
• Ability to work independently while maintaining confidentiality
• Willingness to learn and navigate healthcare insurance enrollment requirements

📋 Minimum Requirements

• High School Diploma or GED (or equivalent) OR 2+ years of experience in administrative support, insurance enrollment, payor credentialing, billing, or a related field

🎯 Why This Role Matters

When providers aren't properly enrolled with insurance payors, it can create delays, billing challenges, and unnecessary headaches for everyone involved.

That's where you come in!

Your attention to detail, persistence, and ability to keep things moving help ensure providers are ready to deliver care and the organization can process claims accurately.

You may not be the person patients see when they walk through our doors, but your work plays an important role in supporting the care they receive.

💙 Keep the details straight, the deadlines on track, and our providers ready to care for our community!

WORK SHIFT:

Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart. 
• Give people a reason to smile. 
• Put a little love in your work. 
• Be honest and real, but with compassion.  
• Bring some lagniappe into everything you do. 
• Forget one-size-fits-all, think one-of-a-kind care. 
• See opportunities, not problems – it’s all about perspective. 
• Cheerlead ideas, differences, and each other. 
• Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities.  LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Simple things make the difference.

1.To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.

2.To ensure quality care and service, we may use information on your application to verify your previous employment and background. 

3.To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.

4.To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.