Provider Payor Enrollment Specialist Job Listing at CRMC in Crosby, MN (Job ID 164515)

Description

Keep providers enrolled, compliant, and ready to provide care

This position is being offered as a .8 FTE (64 hours a pay period) Enjoy work life balance with a guaranteed day off a week. This position is a salary position and is posted with a .8 FTE salary range (hourly rate breakdown $25.00- $31.75 hourly)

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At Cuyuna Regional Medical Center (CRMC), we're more than just a healthcare organization - we're a community dedicated to making a meaningful impact. For more than 60 years, we've been providing compassionate, high-quality care in the Greater Brainerd Lakes Area and beyond. Our team is driven by a shared commitment to excellence, innovation, and putting people first - both our patients and our employees. Whether you're on the front lines of patient care or supporting operations behind the scenes, you'll find a culture of collaboration, growth, and respect. If you're looking for a career where your work truly matters, we invite you to join us at CRMC and be part of something bigger.

This role manages the end-to-end enrollment, credentialing, and recredentialing of providers across hospital and clinic settings with payors. The position operates independently, navigating Medicare, Medicaid, and commercial payer systems while maintaining strict accuracy in provider data and documentation. Common tasks include tracking multiple applications, resolving enrollment-related claim issues, and meeting evolving regulatory and payer requirements. The specialist collaborates with providers, billing teams, and internal departments to support smooth onboarding and uninterrupted revenue cycle operations. Work is structured around managing deadlines, monitoring application statuses, and proactively addressing discrepancies to maintain compliance and reimbursement readiness.

What makes our Business Office truly special is the deep sense of connection, dedication and longevity within our team. Our Team thrives on flexibility and the desire to learn, knowing that every day presents new challenges. We embrace the evolving nature of our work with compassion and a commitment to problem-solving, critical thinking, and clear communication, all aimed at ensuring the financial side of healthcare operates smoothly, ethically, and transparently.  Our patients have placed their trust in us to meet their healthcare needs, and we strive to manage their financial accounts with that same level of care and attention. Whether we're processing claims, managing reimbursements, analyzing revenue cycles, or training staff on financial policies, every task we take on is done with a focus on fairness, accuracy, and efficiency.  While many of us didn't initially set out for a career in healthcare finance, we've discovered a profound sense of purpose in helping our patients through the financial aspect of their health journey.  Providing them with the support, guidance, and clarity they need to navigate what can often feel like a complex and overwhelming process.

• Detail-oriented with strong data accuracy
• Independent, self-directed work style
• Knowledge of payer enrollment processes
• Strong organizational and prioritization skills
• Analytical problem-solving mindset
• Clear communicator

• Associate degree in healthcare administration, business, or a related field, or equivalent combination of education and/or experience
• 3–5 years of experience in provider enrollment, credentialing, or payer-related functions preferred
• Working knowledge of Medicare, Medicaid, and commercial payer enrollment processes
• Strong organizational and time management skills with the ability to manage multiple priorities and deadlines
• High level of attention to detail and accuracy in data management and documentation
• Effective written and verbal communication skills
• Demonstrated ability to work independently with minimal supervision while maintaining accountability

• Experience in a hospital, clinic, or integrated healthcare system
• Knowledge of state-specific Medicaid enrollment processes and delegated payer arrangements
• Familiarity with revenue cycle operations and claims-related processes
• Professional certification in credentialing (e.g., CPCS, CPMSM) or related field

The pay range listed above is the estimated starting pay range for this role. Actual pay rate offered depends on many factors including each individual employee's experience level, preferred education/certifications, along with market conditions.

Cuyuna Regional Medical Center offers a comprehensive benefits package designed to support the health, financial security, and overall well-being of our employees. Eligible employees receive medical insurance, dental insurance, and vision insurance, health savings accounts, life insurance, and employer contributions to a 401(k) retirement plan. Additional benefits include paid time off, participation in 401(k) and 457(b) plans, educational assistance and reimbursement, an employee assistance program, work-life balance support, gym membership and other discounts, and employee recognition programs.

A full job description is provided when an interview is scheduled. If needed, you may request a copy earlier by emailing us at careers@cuyunamed.org. CRMC is an Equal Opportunity/Affirmative Action Employer (M/F/Disability/Veteran). If you need an accommodation during the application process, please call 218-546-4415 or email careers@cuyunamed.org for assistance.