Senior Payer Enrollment Specialist

Build What Matters Most—Families, Futures, and Your Career Enjoy meaningful work while contributing to an organization that changes lives every day. US Fertility , the nation’s leading partnership of physician-led fertility practices, is redefining what it means to build a career in reproductive medicine. Our team members choose to build their career home at US Fertility because of the hope we inspire in our patients , the lives we help bring into the world , and the culture of excellence we foster across our organization .  We share a deep commitment to continuously improving the patient experience and advancing research and development in one of the most dynamic and impactful fields of medicine. Through our national network of premier fertility centers we combine clinical expertise, scientific innovation, and compassionate care.  The work we do building families offers purpose, challenge, and personal reward—and we’re just getting started. Opportunity Overview We have an immediate opening for an Senior Payer Enrollment Specialist to join our team at US Fertility Schedule: Monday through Friday, from 7:30am-4:30pm Eastern Time Compensation: $55,000 to $65,000 per year (commensurate with experience) This role provides the opportunity to grow within a nationally respected organization while remaining closely connected to the patients and teams you support every day. How You’ll Contribute At US Fertility, collaboration is fundamental to how we work.  There is undeniable strength in numbers—and support is always within reach.  Whether collaborating with more than 200 highly respected physicians nationwide or partnering with colleagues who are passionate about solving meaningful problems, you’ll be surrounded by a team committed to shared success. In this role, the Senior Payer Enrollment Specialist will: Manage initial and recredentialing payer enrollment for groups, facilities, physicians, and APPs across insurance plans Coordinate the addition of new service locations and maintain accurate payer contract participation Manage monthly payer roster submissions and maintain efficient enrollment workflows, policies, and procedures Utilize payer portals, including Availity, UHC, Kaiser, and LexisNexis, to manage enrollment and provider data Maintain accurate provider, practice, and group information across NPPES, CAQH, payer portals, and directories Conduct quarterly provider data attestations and validate demographic and participation information Audit enrollment activities and documentation to ensure accuracy, compliance, and adherence to established processes Research and resolve payer enrollment issues while ensuring provider information meets payer and organizational requirements Coordinate malpractice insurance certificates and annual Certificates of Insurance (COI) renewals Support, train, and mentor the payer enrollment team while contributing to departmental initiatives and special projects Identify and implement process improvements that enhance enrollment efficiency, accuracy, and overall team performance What You’ll Bring We’re looking for professionals who bring both technical skill and a deep sense of responsibility to the care experience—individuals who thrive in environments where excellence, empathy, and accountability matter. Qualifications and Skills Include: An associate degree and three years of payer enrollment experience, or five years of experience in lieu of a degree; bachelor’s degree preferred Prefer CPCS, CPES, RHIA, or RHIT certification; CPCS required within two years if not already certified Knowledge of payer enrollment, provider participation, and applicable regulatory requirements Proficiency with Microsoft Office, CAQH ProView, NPPES, OIG, and payer portals Strong attention to detail, organization, and documentation skills Effective and professional communication with internal and external stakeholders Ability to maintain confidentiality when handling sensitive provider and organizational information Ability to Research and resolve payer enrollment and provider data issues effectively Ability to manage multiple priorities and deadlines in a fast-paced environment Strong customer service, problem-solving, teamwork, and adaptability More important than any single credential, however, is the right person .  Team members who are most successful at US Fertility embrace our mission, live our values, and remain committed to continuous improvement—for themselves, their colleagues, and the patients we serve. What We Offer US Fertility is proud to provide a competitive, comprehensive benefits package designed to support our team members—professionally and personally—across all employment types. Full-Time Employees (30+ hours/week) Medical, dental, and vision insurance 401(k) with company match Tuition assistance and professional development support Performance-based bonus opportunities Generous paid time off, paid holidays, and paid parental leave Life and disability benefits Fertility Discount Program Employee wellness and recognition programs Part-Time Employees 401(k) with company match Performance-based bonus opportunities Employee wellness and recognition programs Per Diem Employees 401(k) with company match Employee wellness and recognition programs Our Commitment to Inclusion and Opportunity US Fertility and its network partners believe that a diverse workforce is essential to fulfilling our mission of expanding patient access to the highest standards of fertility care.  We are committed to equitable and inclusive hiring practices that ensure our clinical and operational teams reflect and support the diverse communities and patients we serve. Across our national footprint, US Fertility is a leader in offering clinical, administrative, and operational career opportunities at locations throughout the United States.  We are equally committed to developing individual strengths, promoting from within, and supporting long-term career growth. This is a moment of growth, innovation, and impact. Take the next step in your career with US Fertility—and help shape the future of fertility care.