[Hiring] Point of Contact, Provider Enrollment @US Acute Care Solutions

Role Description

The Point of Contact, Provider Enrollment serves as a vital support resource for the Provider Enrollment team. This role involves resolving enrollment issues by answering staff inquiries, providing expert recommendations, verifying payer requirements, monitoring enrollment status, and ensuring proper follow-up on Provider Issue Forms. The position also facilitates both group and individual provider enrollments with commercial and government payers, helping to streamline processes and maintain compliance.

Location: Remote

Essential Job Functions:

• Monitor enrollment status for group and individuals.
• Perform and assist with other department duties as required.
• Act as the primary resource for Provider Enrollment staff by promptly resolving questions and concerns, providing clear guidance, and escalating complex issues to the Team Lead or Manager when necessary.
• Deliver coaching, training, and quality audits on assigned tasks to enhance team knowledge and accuracy.
• Collaborate closely with the Team Lead to assess team performance, identify opportunities for improvement, and drive continuous operational excellence.
• Support the Team Lead in tracking inventory and production metrics, proactively managing workflow, and facilitating timely escalation to ensure smooth operations and meet organizational goals.
• Develop proficiency in engaging with payors to address and resolve identified enrollment issues efficiently.
• Research and review individual Provider Issue Forms to determine appropriate follow-up actions and resolutions.
• Collaborate with the Team Lead to review risks and concerns related to missing documents, ensuring timely mitigation.
• Maintain and update critical documentation including payer enrollment matrices, standard operating procedures (SOPs), new site sheets, email templates, and welcome letters to support consistent communication and process adherence.
• Generate and distribute detailed reports on provider credentialing and enrollment data to various departments, supporting informed decision-making across the organization.
• Stay current on evolving state enrollment requirements for both group and individual providers to ensure compliance and accurate application processing.
• Assist Contract Implementation staff by accurately documenting enrollment and billing requirements tied to payer contracts.
• Support IntelliCred Application Mapping efforts to optimize enrollment workflows.
• Facilitate the completion and submission of payer enrollment applications for government and commercial payers, ensuring accuracy and timeliness.
• Monitor application statuses continuously to detect emerging issues early and communicate them effectively to the team for prompt resolution.
• Perform and assist with other department duties as required to support overall team success.

Qualifications

• Meticulous follow-through on delegated tasks, ensuring completion, quality, and adherence to deadlines through effective staff coordination.
• Demonstrated leadership capabilities, including commitment to team development, adaptability to change, and alignment with organizational goals and continuous improvement initiatives.
• Exceptional attention to detail, consistently producing highly accurate work.
• Strong analytical and problem-solving skills to identify issues and implement effective solutions.
• Proven ability to organize, prioritize, and manage multiple tasks efficiently in a dynamic work environment.
• Excellent organizational skills with the capacity to balance competing priorities and meet deadlines effectively.
• Ability to thrive in a multi-tasking environment while maintaining focus and productivity.
• Strong communication and interpersonal skills, fostering positive relationships with clinicians, external agencies, and management.
• Proficient oral and written communication skills, delivering information clearly, courteously, and professionally across diverse audiences.
• Proficient in using personal computers (Windows) with strong emphasis on Microsoft Office programs including Outlook, Word, Excel, and Adobe Acrobat.
• Ability to maintain patience and composure in difficult situations, always demonstrating professionalism.
• Capacity to work well under pressure and consistently meet strict deadlines.
• Commitment to maintain confidentiality and handling sensitive information appropriately.
• Dedication to teamwork by supporting company and department goals, assisting colleagues in developing their knowledge, and positively adapting to change.

Requirements

• High school diploma or equivalent required.
• Minimum of 2 years’ experience in healthcare provider enrollment.
• Experience working with government and commercial payers strongly preferred.
• Prior experience in a fast-paced healthcare environment is an asset.

Physical Demands

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
• Required to have close visual acuity to perform the job.

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 & family support benefits.
• Short-term and long-term disability insurance.
• Life and accidental death & dismemberment (AD&D) insurance.
• Employee assistance programs & wellness resources.
• Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.
• Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.