Specialist, Payer Enrollment (Contract)

5 days, 13 hours ago
Contract
Mid Level
Operations
Medallion

Medallion

Medallion is a healthcare operations platform that automates credentialing, enrollment, and licensing processes, saving time and increasing revenue for healthcare companies.

Health Care Providers & Services
51-250
$85M raised

Description

  • Oversee end-to-end health plan enrollment processes from application retrieval through client notification.
  • Monitor in-process enrollments through phone, email, and payer portals, maintaining timely documentation in Medallion systems.
  • Complete highly escalated enrollment requests when needed.
  • Maintain accurate payer-specific requirements, forms, supporting documentation, and provider profile records.
  • Prepare client updates on enrollment status and progress.
  • Build relationships with payer representatives and contracting departments to improve submission and approval timelines.
  • Support provider revalidation processes and monitor enrollment deadlines for SLA and submission compliance.
  • Investigate and resolve enrollment delays, rejections, and discrepancies with providers, payers, and vendors.
  • Stay current on payer policies, state and federal regulations, and enrollment best practices.

Requirements

  • 3+ years of direct experience with payer enrollment applications and processes.
  • Expertise with Google Workspace, including Google Sheets, Google Docs, and Gmail.
  • Strong attention to detail when reviewing complex enrollment packages.
  • Ability to communicate effectively with diverse internal and external stakeholders.
  • Ability to work collaboratively and build effective working relationships.
  • Knowledge of payer enrollment requirements, supporting documentation, and applicable regulations.
  • Ability to manage multiple client accounts and vendor relationships while meeting SLAs and SLOs.

Benefits

  • $20–$28 per hour, depending on location and level.
  • Six-month contract with an opportunity for extension.
  • Equal opportunity employer with reasonable accommodations available during the application process.

Interested in this position?

Apply directly on the company website

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