Provider Enrollment Manager (Remote)

ACCESS TELECARE

1d•Remote

About The Position

The Provider Enrollment Manager plays a critical role in ensuring Access TeleCare’s providers are properly enrolled and contracted with both governmental and commercial payers. This role leads the Provider Enrollment Team, manages day-to-day operations, and drives efficiency in contracting and enrollment processes that directly impact revenue cycle performance and provider success.

Requirements

Bachelor’s or associate degree preferred; high school diploma required.
Minimum of two years’ experience in physician hospital credentialing or licensing.
Knowledge of medical terminology and payer regulations.
Familiarity with governmental and commercial payer requirements, applications, and workflows.
Experience with CAQH, PECOS, and State Medicaid portals.
Proficiency in Microsoft Word, Excel, Adobe, and credentialing software.
Excellent communication skills — both written and verbal.
Strong organizational skills and attention to detail.
Ability to multitask, meet deadlines, and manage multiple priorities independently.
A proactive approach to problem-solving and quality improvement.
Ability to handle confidential information with discretion.
Positive, team-oriented mindset and adaptability to change.
Ability to thrive in a High growth, fast-paced organization, and 100% Remote based environment.
Must be able to remain in a stationary position 50% of the time.

Nice To Haves

Occasional travel for meetings and collaboration

Responsibilities

Deliver high-quality service to operational teams and ensure providers are enrolled with payers accurately and on time.
Oversee team priorities to meet operational and business goals, track and report key performance metrics to leadership.
Ensure all provider privileges remain current and compliant at all times.
Research and resolve complex enrollment and contracting issues.
Build and maintain relationships with internal stakeholders and external partners.
Measure and refine enrollment processes to reduce turnaround times.
Assign and balance team workloads, monitor and guide performance.
Develop department policies and procedures for consistent implementation.
Manage enrollment applications and facilitate provider review and approval before submission.
Support execution of payer contracts for individuals and groups.
Organize and maintain large volumes of documentation efficiently.
Provide regular updates to management through detailed reports.
Partner with Revenue Cycle to resolve held AR issues.
Participate in education and training initiatives to maintain compliance and quality.
Ensure adherence to HIPAA, Corporate Compliance, and confidentiality standards.
Lead staffing activities including hiring, training, evaluating, and coaching.
Set and monitor performance goals; hold team members accountable to defined metrics.
Conduct regular one-on-one meetings to promote awareness, engagement, and growth.
Train new Privileging Specialists on processes and best practices.