PAYOR ENROLLMENT SPECIALIST (OBTELECARE FOCUSED)
Hourly Compensation Range: $22.00 - $24.00 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 Obtelecare 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 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
Prepare, submit, and track provider enrollment applications for Medicaid,
Managed Care, and other insurance payors.
Manage payer-specific enrollment requirements across multiple facilities and
contracts.
Monitor enrollment application statuses and follow up as needed.
PROVIDER DATA MANAGEMENT
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 internal/external contacts.
Respond promptly to payor 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 issues and status updates
appropriately.
Meet established accuracy and turnaround-time expectations.
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.
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 confidentiality, compliance, and quality outcomes.
WHY JOIN OBHG?
At OB Hospitalist Group, we are dedicated to improving outcomes for mothers and
babies nationwide. Our team members play a vital role in supporting healthcare
providers and ensuring operational excellence across our organization. We offer
competitive compensation, comprehensive benefits, professional growth
opportunities, and a collaborative culture where your contributions make a
meaningful impact.
WHAT WE OFFER - THE GOOD STUFF:
A mission based company with an amazing company culture.
Paid time off & holidays so you can spend time with the people you love.
Medical, dental, and vision insurance for you and your loved ones.
Health Savings Account (with employer contribution) or Flexible Spending
Account options.
Paid Parental Leave
Employer Paid Basic Life and AD&D Insurance.
Employer Paid Short- and Long-Term Disability.
Optional Short Term Disability Buy-up plan.
401(k) Savings Plan, with ROTH option.
Legal Plan.
Identity Theft Services.
Mental health support and resources.
Employee Referral program – join our team, bring your friends, and get paid.
OB Hospitalist Group is an Equal Opportunity Employer and values diversity in
the workplace.