Job Description​

The Opportunity: 

Saint Luke’s Allen County Regional Hospital in Iola, KS is seeking a Payor Enrollment Specialist to join our team. The Payor Enrollment Specialist is responsible for creating and maintaining provider records. This position requires an ability to correspond in a professional manner with providers to obtain confidential passwords, gaps in history, malpractice details, etc. 

Preferred Certification: Provider Enrollment Specialist Certification (PESC)  

The Work: 

• Provides support, assistance and guidance to other personnel regarding use of the payor enrollment software
• Enters and keeps provider’s information current in payor enrollment software
• Completes CAQH for all providers and maintains by attesting the accuracy of provider’s information every 120 days in accordance with CAQH requirements
• Promptly submits practice and provider changes to the appropriate parties upon receipt
• Coordinate the initial enrollment and for managed care companies and government agencies
• Provide customers with a status report of new providers
• Assist with non-participation issues
• Prepares and updates insurance matrices
• Review received payor enrollment forms for all information being complete and accurate, returns for corrections if necessary
• Maintain provider’s enrollment status by coordinating revalidations for payors ever 2-3 years as required by manage care companies, Medicaid and Medicare
• Maintain team email box for enrollment correspondence
• Ability to navigate through Epic to research account details
• Process incoming mail and faxes
• Ability to correspond in a professional manner with provider to obtain confidential passwords, gaps in history, malpractice details, etc.
• Process incoming mail and faxes
• Ability to correspond in a professional manner with provider to obtain confidential passwords, gaps in history, malpractice details, etc.

Why Saint Luke’s? 

• Wages starting at $17.50, pay increases based on years of relevant experience.
• Saint Luke’s offers competitive salaries and benefits packages to all of their employees, click here to find out more.
• We believe in creating a collaborative environment where all voices are heard.
• We are here for you and will support you in achieving your goals.
• We are dedicated to innovation and always looking for ways to improve.

Job Requirements

Applicable Experience:

Job Details

The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

Effective November 1st, 2021, full COVID-19 vaccination is a condition of employment for all Saint Luke’s Health System employees unless a medical or religious exemption is approved.