Provider Enrollment Supervisor

Children’s Hospital of Philadelphia•Philadelphia, PA

2d•$69,200 - $88,200•Onsite

About The Position

The Provider Enrollment Supervisor serves as an operational leader and subject matter expert in revenue cycle management and accounts receivable operations. Key responsibilities of the role include building an outstanding team culture through consistent engagement; fostering professional development of all direct and indirect reports, especially the next generation of CHOP leaders; identifying, deploying, and maintaining best practices in revenue cycle operations; understanding and monitoring Key Performance Indicators (KPIs), and taking quick and appropriate action to maintain the financial health of CHOPPA. This position collaborates with stakeholders at all levels, mentors team members, and ensures alignment with organizational financial goals. The Enrollment Supervisor oversees a team of enrollment specialists responsible for enrolling and maintaining healthcare providers with payers and regulatory bodies. This role ensures timely, accurate, and compliant submission and follow-up of applications, roster updates, and demographic changes across both delegated and non-delegated payer agreements. The Supervisor provides day-to-day operational leadership, helps resolve escalated issues, ensures quality and productivity standards are met, and supports continuous process improvement including optimizing the CredentialStream software via workflow adjustments, alerts and reporting improvements. This role serves as a subject matter expert (SME) on best practice and regulatory changes and supports departmental planning and goal setting. This role works closely with the Enrollment Manager to align department goals with organizational objectives.

Requirements

High School Diploma / GED - Required
At least three (3) years Provider enrollment, credentialing, or related healthcare operations - Required
Strong knowledge of CMS, PECOS, CAQH, payer enrollment guidelines (Required proficiency)
Strong knowledge of delegated vs direct contract structures (Required proficiency)
Ability to lead and mentor a team in a high-volume, fast-paced environment (Required proficiency)
Excellent communication, problem-solving, and analytical skills (Required proficiency)
Strong organizational skills and attention to detail (Required proficiency)
Proficiency in Microsoft Office Suite (Excel, Word, Outlook) (Required proficiency)

Nice To Haves

Bachelor's Degree - Preferred
At least one (1) year supervisory or lead experience - Preferred
Enrollment management software (CredentialStream, Echo, Symplr, MD-Staff) (Preferred proficiency)

Responsibilities

Lead and support a team of enrollment coordinators/specialists, including daily work assignments, workflow management, and issue resolution.
Monitor individual and team performance, providing coaching and support to ensure service level agreements (SLAs) and quality standards are met.
The Enrollment Supervisor is the first line of contact for internal support for questions regarding processes, policies and software use.
Conduct regular team huddles, one-on-ones, and provide input on performance reviews to the enrollment manager.
Support departmental hiring, onboarding, and training initiatives.
Manage staff workload distribution
Oversee all aspects of enrollment processing from accuracy to timeliness and capacity including but not limited to: Initial and re-enrollment applications, Revalidations, CAQH attestations, PECOS submissions, Delegated roster submissions, Demographic updates and maintenance.
Ensure expert knowledge of payer enrollment requirements.
Ensure compliance with internal policies, payer requirements, and regulatory standards (e.g., CMS, NCQA, URAC).
Support audit preparation and response (internal and external), including delegated audits.
Identify and implement workflow standardization and process optimization.
Develop and maintain SOPs for enrollment processes.
Serve as SME on best practices and regulatory changes.
Oversee all aspects of enrollment processing (applications, revalidations, CAQH, PECOS, roster submissions, demographic updates).
Ensure compliance with policies, payer requirements, and regulatory standards; support audits.
Serve as the point of escalation for complex enrollment issues, payer rejections, or application delays.
Partner with managers, operational leaders from other departments such as Revenue Cycle, and payers to troubleshoot and resolve barriers.
Serve as escalation point for complex enrollment issues and delays.
Partner with other departments and payers to resolve barriers.
Track and review key metrics, capacity and all turnaround times (TATs), and act appropriately on the data.
Establish, monitor, and report on KPIs (application submissions, turnaround times, denial rates, revenue impact).
Identify process bottlenecks and opportunities for improvement; collaborate with leadership to streamline workflows and enhance automation.
Work closely with credentialing, provider relations, contracting, and IT/technology teams to ensure provider onboarding and enrollment completeness.
Communicate with payers, practitioners, and other partners as needed.
Assist Manager in departmental planning and goal setting.