Payer Enrollment & Contracting Specialist

What Were 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 Were looking for a driven and detail-oriented professional to join our team as a Provider Enrollment & Payer Operations Specialist.

In this role youll 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 systemshelping 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 or call ext. 2201

Qualifications:

• Bachelors degree in Healthcare Administration Business or related field (or equivalent experience) preferred.
• 35 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 or find them on Facebook or Twitter.

Mission:

To deliver comprehensive health and wellness care accessible to all in the communities we serve.