Role Description As a member of the Lifepoint Business Services (LBS) team, you’ll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ®. Our Payer Enrollment team is a highly collaborative and experienced group that plays a critical role in ensuring providers are successfully enrolled and able to deliver care without disruption. With a strong focus on accuracy, accountability, and teamwork, this group supports multiple markets while maintaining a flexible, remote work environment. A Payer Enrollment Specialist who excels in this role will: - Manage end-to-end payer enrollment for assigned providers, tax IDs, and markets, ensuring timely participation with all applicable health plans. - Prepare, submit, and track initial enrollments, re-enrollments, and demographic updates with commercial and government payers. - Maintain and update CAQH profiles, ensuring all provider data, documentation, and attestations remain accurate and current. - Conduct payer research to determine enrollment requirements, application processes, and status of provider participation. - Proactively follow up with payers to obtain application status, resolve issues, and secure effective dates and provider identification numbers. - Monitor and maintain provider enrollment records, ensuring all required documentation is complete and submitted in a timely manner. - Identify and resolve enrollment delays or discrepancies, working directly with payers, providers, and internal stakeholders. - Maintain accurate and up-to-date data entry and tracking within internal systems and payer portals. - Manage a high-volume workload, meeting daily production expectations while maintaining a strong focus on quality and accuracy. - Communicate regularly with internal stakeholders (e.g., Market Directors, team leads) to provide status updates and resolve enrollment issues. - Ensure compliance with payer requirements, internal policies, and healthcare regulations (e.g., HIPAA). - Collaborate with team members and leadership to support process improvements and workflow efficiency. - Perform additional administrative and operational duties as assigned. Qualifications - High school diploma or equivalent, or combination of education and experience required for the job. - Minimum 2 years of payer enrollment, provider enrollment, or insurance-related experience. - Demonstrated experience managing payer enrollment processes from start to finish. - Strong understanding of payer requirements, enrollment workflows, and timelines. - Ability to manage multiple enrollments simultaneously in a high-volume environment. - Strong attention to detail with a focus on accuracy and quality of submissions. - Proficiency in Microsoft Office and data entry systems. Requirements - Experience working with CAQH (or similar credentialing/enrollment platforms) - preferred. - Familiarity with payer portals and systems (e.g., Availity or state-specific payer systems) - preferred. - Exposure to healthcare billing or claims processes (helpful for understanding payer requirements and denials) - preferred. - Experience in a multi-site or multi-state healthcare environment - preferred. Benefits - Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. - Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. - Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. - Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). - Professional Development: Ongoing learning and career advancement opportunities.

Role Description The Payer Credentialing Specialist is responsible for managing all aspects of staff payer credentialing across Merakey. This role serves as the primary point of contact for facility and practitioner credentialing and re-credentialing processes, ensuring compliance with payer requirements and organizational standards. The position reports directly to the Contracting and Credentialing Supervisor. The Payer Credentialing Specialist will: - Ensure timely and accurate submission of initial and re-credentialing applications for all employed and contracted providers. - Maintain active Medicare and Medicaid enrollments for all eligible providers. - Manage and update provider records across CAQH, PECOS, PROMISe, and other payer systems, ensuring accuracy and compliance. - Track and maintain all required documentation (e.g., licenses, DEA, malpractice insurance) to ensure records remain current. - Respond promptly to payer requests for additional or missing information to support credentialing processes. - Provide regular status updates on credentialing progress for new and existing providers. - Research and resolve credentialing-related claim issues, collaborating with operations and business teams. - Build and maintain strong working relationships with providers, program leadership, and support teams. - Adhere to all organizational policies, procedures, and standards. - Perform other duties as assigned. Qualifications - Associate Degree or two years equivalent work experience required; Bachelor’s Degree preferred. - Minimum of two years of credentialing experience including work with CAQH and provider enrollment processes. - Strong knowledge of credentialing processes, including payer submissions, re-credentialing, and maintaining Medicare/Medicaid enrollments. - Strong computer proficiency, including Microsoft Excel, Word, and Outlook, along with solid organizational and time management skills. - Excellent written and verbal communication skills, with the ability to communicate effectively with internal and external stakeholders. - Experience with MD-Staff credentialing system. - Experience maintaining provider data across CAQH, PECOS, PROMISe, and other payer systems, ensuring accuracy and compliance. Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes.

Role Description Atuar como especialista dedicado em Kneat, fornecendo suporte completo de administração do sistema: - Gerenciar operações diárias, resolução de incidentes, atualizações de configuração, melhorias e demandas de negócio; - Realizar configuração e implantação de melhorias na plataforma; - Administrar o sistema com foco em controle de acesso baseado em papéis e governança de dados; - Prestar suporte operacional e atuar na resolução de problemas; - Avaliar a implementação atual do Kneat para identificar gaps de design e processos; - Conduzir a reestruturação (re-architecture) de templates, workflows e configurações alinhados às melhores práticas; - Garantir um ambiente de validação digital escalável e em conformidade regulatória; - Demais rotinas da área. Qualifications - Experiência prévia com implementação e sustentação de Sistemas da Qualidade em ambiente regulado (biotecnologia ou farmacêutico); - Experiência prática com Kneat (configuração, administração e suporte); - Sólido entendimento de ferramentas de validação de sistemas e metodologias SDLC; - Forte conhecimento técnico em Kneat (perfil hands-on, não apenas funcional ou de suporte básico); - Perfil analítico e colaborativo; - Graduação completa (obrigatório); - Experiência com transformação digital em validação (paperless validation) (desejável); - Conhecimento de boas práticas GxP (desejável); - Experiência com melhoria de processos e reestruturação de sistemas (desejável); - Vivência com workflows e automação em plataformas de validação (desejável); - Inglês Avançado para conversação (Haverá etapa de entrevista nesse idioma). Benefits - Assistência Médica para colaboradores e dependentes com abrangência nacional da Bradesco ou Unimed; - Assistência Odontológica com abrangência nacional; - Vale Refeição ou Vale Alimentação (a escolha do colaborador); - Auxílio creche; - Seguro de Vida para associados e dependentes; - Gympass para associados e dependentes; - EAP (Employee Assistance Program) com os seguintes serviços: Assistência Financeira, Assistência Jurídica, Assistência Social, Assistência Psicológica (24 horas – 7 dias por semana); - Descontos e tarifas diferenciadas junto a Universidades (Mackenzie, SENAC, FIA, FIAP e BBS Business School) e escola de idiomas (CNA, Cultura Inglesa, Wizard, CCAA, Indeed); - Descontos em pacotes de tarifas e taxas diferenciadas para Bancos Itaú e Bradesco; - Opção de crédito consignado, com desconto diretamente no salário do colaborador; - Programa de reembolso de algumas certificações externas; - Treinamento: A empresa oferece plataforma de treinamento e desenvolvimento a distância e presenciais, em soft skills, tecnologias e domínios em mais de 15.000 temas; - Premiação por tempo de casa: A empresa premia associados por seu comprometimento e lealdade durante o período em que trabalhar na empresa (3, 5 e 10 anos e cada 5 anos posteriormente); - Prêmio de indicação de novos colaboradores - recebendo um bônus para cada nova contratação; - Fit4life - Programa para incentivar a prática de exercício físico junto a seus associados, com agenda de treinamentos funcionais online; - Experiência internacional: Dependendo de seus conhecimentos e das demandas do negócio você pode se candidatar a vagas no exterior (dentro e fora da América Latina); - Entre outros.

Role Description We’re looking to add an RCM Success Specialist to our high-performing team. In this role, you'll be the face of our RCM team to practice owners, clinicians, administrative staff, and even patients — ensuring they feel supported, heard, and informed at every step. You’ll work cross-functionally with our internal RCM teams to identify, document, and coordinate resolution of issues related to patient claims, payer setups, credentialing, and billing workflows — and communicate updates clearly and empathetically back to customers. Beyond technical knowledge, we need someone who truly enjoys solving problems for others, even when they’re frustrated or confused. This role isn’t siloed. You’ll have tight feedback loops with internal teams, direct visibility into outcomes, and a high degree of ownership over the customer experience. Key Responsibilities: - Serve as the primary communication point between StrataPT’s RCM operations and our customers - Respond to inquiries related to patient claims, payer configurations, billing workflows, and credentialing processes - Work cross-functionally with internal RCM teams to identify issues and coordinate resolutions - Communicate solutions clearly, empathetically, and promptly to customers - Escalate systemic issues or trends to leadership to improve workflows and customer experience - Maintain accurate and organized records of customer interactions and resolutions - Support continuous improvement by bringing real-world customer feedback into operational discussions - Answer inbound phone calls and voicemails from customers and patients Qualifications - Minimum of 2–3 years of experience in healthcare revenue cycle management (RCM), with working knowledge of patient billing, claims management, credentialing, and payer processes - Strong understanding of EDI, ERA, and clearinghouse workflows preferred - Exceptional written and verbal communication skills - Ability to empathize with frustrated customers while maintaining professionalism and driving toward resolution - Highly organized, with the ability to manage multiple open cases and prioritize effectively - Comfortable using ticketing systems, CRM platforms, and EHR/RCM tools - Familiarity with reimbursement processes and clinical workflows in physical therapy, occupational therapy, speech therapy, and ABA settings preferred - A college degree is preferred but not required; we’re looking for sharp, capable people who can think critically and communicate thoughtfully Benefits - Job Type: Full-time - Pay Range: $45,000 – $65,000 depending on experience - StrataPT Benefits include: - Medical, Dental, Vision, Life & AD&D, Short- and Long-Term Disability (coverage begins on Day 1) - SIMPLE IRA with 3% company match (eligible after 1 year) - Paid Time Off: 14 days PTO annually, 7 company holidays + 1 floating holiday - Flexible schedule, with a shared rhythm during standard business hours (Monday–Friday, 9:00 AM to 5:00 PM ET) Company Description This is a fully remote role.