Payor Relations & Enrollment Supervisor

CochlearLone Tree, CO
1d$103,000 - $118,000Hybrid

About The Position

Change people’s lives and love what you do! Cochlear is the most recognized brand in hearing health care. About the role Cochlear is helping people hear, and be heard, all over the world. Come be a part of our amazing mission! If you have experience executing and monitoring payor enrollment, credentialing, and revalidation activities across Medicare, Medicaid, and commercial payors, this is a fantastic opportunity to join the global leader in implantable hearing devices! This role offers a hybrid or remote work environment dependent on place of residence. The Supervisor, Payor Relations & Enrollment is responsible for executing and monitoring payor enrollment, credentialing, and revalidation activities across Medicare, Medicaid, and commercial payors. This role ensures compliance with payor requirements, maintains accurate records, and serves as the primary point of contact for enrollment and credentialing communications. The supervisor resolves payor-related issues, supports internal teams and providers, and drives process improvements to enhance efficiency and accuracy. Additionally, this position provides guidance to staff and collaborates with reimbursement, operations, and compliance teams to align enrollment activities with organizational objectives.

Requirements

  • Bachelor’s degree in business, healthcare administration, or related field OR equivalent work experience
  • 2+ years experience in payor enrollment, credentialing, payor relations, or healthcare operations.
  • Experience with Medicare, Medicaid, and commercial payor processes.
  • Experience training or mentoring staff.
  • Strong organizational and communication skills.
  • Proficiency with Microsoft Office Suite.

Nice To Haves

  • Relevant certifications (e.g., Certified Provider Credentialing Specialist, Lean Six Sigma) are preferred.

Responsibilities

  • Execute and monitor all payor enrollment, credentialing, and revalidation activities to maintain compliance and timely processing.
  • Maintain accurate and up-to-date records of enrollment status, credentialing documentation, and compliance deadlines.
  • Act as the primary liaison with payors for enrollment and credentialing matters, ensuring effective communication and issue resolution.
  • Resolve payor-related issues, including coverage updates, application status, and compliance questions, escalating as needed.
  • Provide guidance and training to team members on enrollment and credentialing workflows and best practices.
  • Collaborate with reimbursement, operations, and compliance teams to align enrollment activities with organizational goals.
  • Analyze enrollment and credentialing data to identify trends, monitor performance, and recommend process improvements.
  • Support continuous process enhancements to improve efficiency, accuracy, and compliance in payor relations and enrollment.
  • Supervise account reconciliation activities for payor-related transactions, ensuring accuracy and timely resolution.
  • Ensure team members deliver reimbursement systems support for Brightree and DocuSign, maintaining workflow integrity.

Benefits

  • Benefit package includes medical, dental, vision, life and disability insurance as well as 401(K) matching with immediate vesting, Paid Time Off, tuition reimbursement, maternity and paternity leave, Employee Stock Purchase Plan and pet insurance.
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