Point of Contact, Provider Enrollment

US Acute Care Solutions • Virtual OH, OH

1d • $22 - $40 • Remote

About The Position

The Point of Contact, Provider Enrollment serves as a support resource for the Provider Enrollment team. The role resolves enrollment issues by answering staff inquiries, providing recommendations, verifying payer requirements, monitoring enrollment status, and following up on Provider Issue Forms. It facilitates group and individual provider enrollments with commercial and government payers, helping streamline processes and maintain compliance.

This position provides guidance and escalates complex issues, delivers coaching and training, performs quality audits, and works with the Team Lead to review performance, manage workflow and metrics, and address risks. It maintains enrollment documentation, produces reports, stays current on state enrollment requirements, supports contract implementation and application mapping, and facilitates accurate, timely payer application submissions. The role is remote.

Requirements

• High school diploma or equivalent.
• At least 2 years of experience in healthcare provider enrollment.
• Meticulous follow-through on delegated tasks, including ensuring quality and meeting deadlines through effective staff coordination.
• Leadership capabilities, including commitment to team development, adaptability, and alignment with organizational goals and continuous improvement.
• Exceptional attention to detail and accuracy.
• Strong analytical and problem-solving skills.
• Ability to organize, prioritize, and manage multiple tasks and competing deadlines in a dynamic, fast-paced environment.
• Strong communication and interpersonal skills with clinicians, external agencies, and management.
• Proficient oral and written communication skills.
• Proficiency with Windows computers and Microsoft Office programs, including Outlook, Word, and Excel, and with Adobe Acrobat.
• Ability to remain patient and composed in difficult situations and demonstrate professionalism.
• Ability to work under pressure and meet strict deadlines.
• Commitment to confidentiality and appropriate handling of sensitive information.
• Ability to support team and department goals, help colleagues develop their knowledge, and adapt positively to change.
• Ability to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
• Close visual acuity to perform the job.

Nice To Haves

• Experience working with government and commercial payers.
• Prior experience in a fast-paced healthcare environment.

Responsibilities

• Monitor enrollment status for group and individual providers.
• Perform other department duties as required.
• Serve as a primary resource for Provider Enrollment staff by resolving questions and concerns, providing guidance, and escalating complex issues to the Team Lead or Manager.
• Provide coaching and training and conduct quality audits on assigned tasks.
• Collaborate with the Team Lead to assess team performance, identify improvement opportunities, and support continuous operational improvement.
• Track inventory and production metrics with the Team Lead, manage workflow, and facilitate timely escalation.
• Engage with payers to address and resolve enrollment issues.
• Research and review Provider Issue Forms and determine appropriate follow-up actions and resolutions.
• Work with the Team Lead to review risks and concerns related to missing documents and ensure timely mitigation.
• Maintain payer enrollment matrices, standard operating procedures, new site sheets, email templates, and welcome letters.
• Generate and distribute reports on provider credentialing and enrollment data.
• Stay current on state enrollment requirements for group and individual providers.
• Assist Contract Implementation staff by documenting enrollment and billing requirements associated with payer contracts.
• Support IntelliCred Application Mapping efforts to optimize enrollment workflows.
• Facilitate accurate and timely completion and submission of enrollment applications for government and commercial payers.
• Continuously monitor application statuses, identify emerging issues, and communicate them to the team.

Benefits

• Medical, dental, and vision insurance options.
• Health savings accounts (HSA) and flexible spending accounts (FSA).
• 401(k) employee and employer contributions.
• Paid time off, including vacation, sick leave, and company holidays.
• Paid parental leave and family support benefits.
• Short-term and long-term disability insurance.
• Life and accidental death and dismemberment (AD&D) insurance.
• Employee assistance programs and wellness resources.
• Potential bonus eligibility, equity, or other incentive programs, depending on the role.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED