Enrollment Lead
Tasks
- Develop and maintain enrollment workflows and checklists
- Ensure submission of initial enrollments and updates
- Escalate complex stalled enrollment cases
- Identify process gaps and recommend operational improvements
- Lead payer enrollment and revalidation
- Monitor enrollment timelines and ensure SLA
- Provide guidance training and support to enrollment specialists
- Resolve payer enrollment issues and improve turnaround times
- Review enrollment submissions for accuracy completeness and compliance
- Serve as primary point of contact for payer enrollment and credentialing vendors
- Support audits and payer inquiries
- Support onboarding and performance management for contractors
- Track enrollment metrics and report volumes turnaround and approval rates
Perks/Benefits
- 401k matching
- Company sponsored offsite travel
- Employee wellness program
- Free therapy
- Hardware or software allowance
- Health, dental and vision coverage
- Remote work
Skills/Tech-stack
CAQH | Commercial Enrollment | Delegated Credentialing | Documentation | Enrollment Portals | Escalation management | Medicaid Enrollment | Medicare Enrollment | NCQA | NPI | PECOS | Payer enrollment | Payer relations | Process Improvement | Provider credentialing | Recredentialing | Workflow coordination
Education
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