Payer Enrollment Specialist

Responsibilities

• Oversee the end-to-end health plan enrollment process by coordinating with external vendor partners
• Directly complete highly escalated enrollment requests as needed
• Monitor in-process enrollments through consistent follow-up via telephone, email, and portal
• Maintain in-depth understanding of payer-specific enrollment requirements and regulations
• Ensure all necessary supporting documentation is accurately maintained in provider profiles
• Prepare client updates to communicate enrollment status and progress
• Build and maintain strong working relationships with payer representatives and contracting departments
• Support revalidation processes to maintain active provider participation in health plans
• Investigate and resolve enrollment delays, rejections, or discrepancies

Requirements

• 3+ years of direct experience with payer enrollments
• Familiarity with payer enrollment-related applications and processes
• Expertise in GSuite tools including GSheets, GDocs, and GMail
• Strong attention to detail for complex enrollment packages
• Excellent communication skills for internal and external contacts
• Ability to work cohesively in a team-oriented environment

About the Company

Medallion is a leading provider operations platform that automates licensing, credentialing, payer enrollment, and compliance monitoring to eliminate administrative bottlenecks in healthcare.