Enrollment Systems Lead
Tasks
- Coordinate with credentialing vendors
- Coordinate with payer enrollment departments
- Identify process gaps and recommend improvements
- Lead payer enrollment and revalidation
- Maintain enrollment workflows and checklists
- Monitor enrollment timelines
- Provide guidance and training to enrollment specialists
- Resolve stalled enrollment cases
- Review enrollment submissions for accuracy and compliance
- Submit initial enrollments
- Submit recredentialing and demographic updates
- Support audits and payer inquiries
- Support onboarding and performance management
- Track and report enrollment metrics
Perks/Benefits
- 401k matching
- Company offsite events
- Employee wellness
- Free therapy
- Hardware and software reimbursement
- Health, dental, vision coverage
- Remote work
Skills/Tech-stack
CAQH | Delegated Credentialing | Demographic Updates | Enrollment Metrics Reporting | Metrics Reporting | NCQA | NPI | Operational SLAs | PECOS | Payer Enrollment Portals | Payer enrollment | Provider credentialing | Recredentialing | Workflow Management
Education
N/A
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