Payer Enrollment & Contracting Specialist at Third Street Family Health Services

Mansfield, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Aug, 26

Salary

0.0

Posted On

08 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payer Enrollment, Contracting Coordination, Credentialing, Revenue Cycle Operations, Payer Portal Management, Clearinghouse Setup, Medicare Enrollment, Medicaid Enrollment, Commercial Payer Enrollment, Claim Routing, Payer Revalidation, Cross-functional Collaboration

Industry

Medical Practices

Description

Description What We're Looking For Are you a proactive problem-solver who takes pride in delivering meaningful work that directly supports financial stability and uninterrupted access to care? We're looking for a driven and detail-oriented professional to join our team as a Provider Enrollment & Payer Operations Specialist. In this role, you'll play a vital part in ensuring providers and services remain accurately enrolled, contracted, and configured across payer systems so that claims process correctly and revenue flows without disruption. You will serve as a key connector between enrollment, contracting, credentialing, billing, and IT systems—helping maintain the infrastructure that keeps our revenue cycle running smoothly. The ideal candidate is highly organized, systems-minded, and comfortable managing complex, multi-step processes with accuracy and accountability. They value continuous learning, take ownership of their work, and thrive in environments where precision, follow-through, and cross-functional collaboration are essential. Most importantly, they are passionate about strengthening operational foundations that support sustainable healthcare delivery and stronger communities. Essential Job Duties Own the full lifecycle of provider, facility, and service enrollment across Medicare, Medicaid, and commercial payers. Coordinate closely with external enrollment vendors to ensure accurate, timely, and complete submissions. Manage payer contracting activities including new agreements, renewals, amendments, and terminations. Maintain and update payer portals, ensuring accurate provider data, user access, and system configuration. Oversee clearinghouse setup and maintenance to ensure proper claim routing and payer connectivity. Track and complete all payer revalidations to ensure continuous enrollment and prevent lapses in billing. Serve as the internal subject matter expert on payer enrollment, contracting, and system setup impacts on revenue cycle operations. Partner with billing, credentialing, IT, and operations teams to resolve enrollment or configuration-related claim issues. What We Offer Attending to your needs today: Your ideas, input, and contributions are valued and recognized. Excellent clinical, administrative, and management support. Forward-thinking, collaborative, transparent, and inclusive company culture. Employee Assistance Program. Competitive Medical, Dental, and Vision plans. Competitive Market Value Compensation. Generous Paid Time Off. Tuition assistance. Protecting your future: Medical, dental and vision insurance 403(b) retirement plan Employer-paid life insurance Employer-paid long-term disability Third Street is an equal opportunity employer. Our goal is to be a diverse workforce that is representative, at all job levels, of the communities and patients we serve. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. If you require reasonable accommodation in completing this application, please direct your inquiries to hr@thirdstreetfamily.org or call 419-522-6191 ext. 2201 Requirements Qualifications: Bachelor’s degree in Healthcare Administration, Business, or related field (or equivalent experience) preferred. 3–5+ years of experience in payer enrollment, credentialing, contracting coordination, or revenue cycle operations. Strong working knowledge of Medicare, Medicaid, and commercial payer enrollment and revalidation processes. Experience with payer portals and clearinghouse systems required. Demonstrated ability to manage complex, multi-step processes with high accountability. Experience in FQHC or similar healthcare setting strongly preferred. About Us: Third Street is a patient-centered medical home driving change in the community. We adapt to the needs of those we serve while building services to fill gaps in care to invest in a healthier future for all. At Third Street, we provide high-quality care through the continual learning of our employees and by building a diverse team. We value our employees, communicate our expectations, and train our team on best practices. Organizational Information: Established in 1994, Third Street Family Health Services is a regional not-for-profit community health center providing medical, dental, OB/GYN, pediatric, community outreach, and behavioral health services across eleven locations in Richland, Marion, Ashland, and Crawford counties. Our mission is to deliver comprehensive health and wellness care, accessible to all in the communities we serve. We believe that the health status of our community can be improved by providing accessible and affordable health care, advocacy, and community health initiatives. We provide patient-centered care and provide our services with respect, integrity, and accountability top of mind. For more information, visit tsfhs.org or find them on Facebook or Twitter. Mission: To deliver comprehensive health and wellness care, accessible to all in the communities we serve.

Responsibilities

Manage the full lifecycle of provider and facility enrollment across Medicare, Medicaid, and commercial payers to ensure uninterrupted revenue flow. Coordinate payer contracting, maintain system configurations, and partner with internal teams to resolve enrollment-related claim issues.