Payer Activation Specialist

Advocate Health

Remote, US
Base: $25.30 - $37.95 ph; bonus/equity: not specif...
Fully remote
Medicare and medicaid enrollment rules
Epic provider set-up and maintenance
Npi and nppes coordination
This role coordinates all application processes for provider enrollments across major payers including Medicare, Railroad Medicare, Tricare, and Medicaid

Job Summary

  • This role coordinates all application processes for provider enrollments across major payers including Medicare, Railroad Medicare, Tricare, and Medicaid.
  • The specialist serves as an expert liaison between clinic leadership, revenue cycle teams, and third-party payers to prevent revenue loss from enrollment lapses.
  • Advocate Health offers a comprehensive suite of total rewards including competitive compensation, health benefits, retirement plans, and educational assistance.

Matching Summary

This role coordinates all application processes for provider enrollments across major payers including Medicare, Railroad Medicare, Tricare, and Medicaid.

Salary

Base: $25.30 - $37.95 per hour; Bonus/Equity: Not specified; Benefits: Comprehensive suite including medical, dental, vision, and retirement match

Skills & Requirements

Must-have

  • Medicare and Medicaid enrollment rules
  • Epic provider set-up and maintenance
  • NPI and NPPES coordination
  • Claims denial resolution related to enrollment
  • Provider credentialing process knowledge

Nice-to-have

  • PECOS experience
  • MD-Staff experience
  • IL and WI Medicare website familiarity
  • Multi-disciplinary environment collaboration

Key Requirements

  • High School Graduate education required
  • 5 years experience with automated patient accounting systems
  • No visa sponsorship or relocation support available

Work Rights

Not specified

Tailored Resume

Cover Letter