Program Coordinator - Payer Connectivity

The Program Coordinator - Payer Connectivity is responsible for providing program and initiative support across WellSky and serving as the organization's subject matter expert for payer setup, electronic payer enrollment, EDI connectivity, and general payer architecture across multiple Electronic Health Record (EHR) and revenue cycle platforms. This role is responsible for coordinating and maintaining the end-to-end payer ecosystem that supports electronic claims submission, Electronic Remittance Advice (ERA), and related revenue cycle transactions. This role is located onsite at World Head Quarters in Overland Park, Kansas. We invite you to apply today and join us in shaping the future of healthcare!Key ResponsibilitiesPayer Operations & Enrollment ManagementOwn payer setup, configuration, enrollment, and maintenance across EHR, clearinghouse, and revenue cycle systems.Manage electronic claims, ERA, EFT, and trading partner enrollments.Support payer onboarding, EDI testing, connectivity validation, and issue resolution.Serve as the primary liaison for payer and clearinghouse relationships.Revenue Cycle & System SupportPartner with cross-functional teams to optimize payer workflows and claims processing.Investigate enrollment, connectivity, and claims issues; perform root cause analysis and coordinate resolutions.Maintain payer configurations, reporting, and system documentation.Compliance & Process GovernanceEnsure compliance with HIPAA, CMS, state, and payer requirements with respect to general electronic claims transmission and management processes.Maintain SOPs, enrollment records, and audit-ready documentation.Monitor industry changes and drive process improvements to enhance operational efficiency.Required qualificationsBachelor’s Degree or equivalent work experienceAt least 3-5 years of relevant work experienceDirect experience with payer enrollment, EDI transactions, clearinghouse operations, and payer connectivity.Familiarity with process mapping and documentation toolsStrong working knowledge of Medicare, Medicaid and Commercial PayersWorking knowledge of healthcare EDI transactions, including:837 Claims835 Remittance277CA Acknowledgments999 Transactions270/271 EligibilityJob ExpectationsWilling to work additional or irregular hours as neededMust work in accordance with applicable security policies and procedures to safeguard company and client informationMust be able to sit and view a computer screen for extended periods of time#LI-CS1#LI-OnsiteWellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:Excellent medical with Rx, dental, and vision benefitsMental Health support through EAPGenerous paid time off, plus 13 paid holidays100% vested 401(K) retirement plansEducational assistance up to $2500 per yearWellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.Data Privacy Notice for Job Applicants and TeammatesSummaryLocation: Overland Park, KSType: Full time