Payor Contracting Specialist

Job Summary:

We are seeking a motivated and detail-oriented Mid-Level Provider Licensing Specialist to join our healthcare administration team. In this role, you will support the provider enrollment process by preparing and submitting provider applications to state licensing boards. This position is ideal for individuals with strong organizational skills and a desire to grow in the healthcare industry.

Key Responsibilities:

• Prepare and submit provider applications to state licensing boards.


• Verify provider credentials and documentation to ensure accuracy and compliance with state licensing requirements.


• Communicate with providers, state departments, and internal teams to resolve licensing issues or obtain missing information.


• Maintain and update provider records in enrollment databases and systems (e.g., CAQH, PECOS, NPPES).


• Track the status of licensing applications and follow up as needed.


• Assist with re-credentialing processes and periodic audits of provider files.


• Ensure compliance with state, federal, and payer-specific regulations, including HIPAA guidelines.


• Respond to inquiries regarding provider licensing status in a professional and timely manner.

Why Join Us?

• Comprehensive paid training provided, no prior experience necessary.


• Opportunities for career growth and advancement within the organization.


• Supportive team environment with regular coaching and feedback.


• Competitive hourly pay with potential for performance-based increases.


• Benefits package including health, dental, vision.

Work Environment:

• Typical schedule: Monday–Friday, 8:00 AM–5:00 PM (flexible hours may be available).


• Office-based.


• Ability to sit or stand for extended periods and use general office equipment (computer, phone, etc.).

Job Type: Full-time (40.0 hours per week)

Benefits:

• Health insurance


• Paid time off

Ability to Commute (in-person position):

• Brentwood, TN 37027 (Required)

Pay: $22.00 - $25.00 per hour