Payer Enrollment Lead
Location
United States
Posted
13 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Payer Enrollment Lead
usebridge.com
Role Description The Payer Enrollment Lead owns the end-to-end process of getting providers enrolled with insurance payers so that our partners can bill for patient visits as quickly as possible. You'll manage high-volume enrollment production across multiple payers while coordinating across credentialing, payer contracting, revenue cycle, and partner operations teams. This role requires both execution speed and cross-functional judgment. This role is for a strong communicator who delivers crisp, timely updates to internal stakeholders and, when needed, external partners. You should be comfortable translating payer feedback into concrete next steps, proactively flagging risks and blockers, and closing loops with payer reps and partners until each file is resolved. Responsibilities: - Payer enrollment execution. - Submit enrollments, run disciplined follow-ups and escalations, unblock stalled files, and keep enrollment records (status/next action/follow-up/notes) accurate and current adhering to SOPs. - Coordination internally across credentialing, contracting, and partner operations. - Work effectively across teams to solve problems quickly, streamline handoffs, and build repeatable processes that improve enrollment speed and quality. - Support partner communication. - Assist with partner/provider escalations by helping unblock complex issues, drafting crisp updates, and coordinating internal and external stakeholders as needed. - Develop and own payer playbooks. - Document and codify payer-specific knowledge — submission workflows, follow-up cadences, escalation paths, portal quirks, key contacts — into reusable playbooks the team can operate from. - Lead a team of junior team members. - Manage daily workflow and capacity, coach and QA work, handle escalations, and run performance management to hit SLA targets and improve SOP adherence. Qualifications - 2–5+ years of payer enrollment experience in a high-volume, fast-paced environment (digital health, MSO, or healthcare operations), including payer submissions, follow-ups, and escalations. - Hands-on experience submitting enrollments and driving them through to payer approval via payer portals, rosters, and/or manual applications, plus post-enrollment maintenance (demographic and location updates, payer loading issues). Strong working knowledge of CAQH management, NPI, and NPPES highly preferred. - Exceptional written and verbal communication skills and comfortable (and confident) coordinating across internal and external stakeholders, translating complex enrollment issues into clear updates, next steps, and expectations. - Detail-oriented with strong organizational skills and able to manage a large queue of enrollments across multiple payers and partners without dropping balls. - Proficiency in startup tech stack (Google Workspace, Notion, Slack, etc…). Experience with Salesforce or similar CRM/credentialing platforms (Verifiable, Medallion, or similar) preferred. - Experience with digital process optimization is a plus. Benefits - Competitive salary - Flexible work environment (remote-friendly). - Health, dental, and vision insurance. - Opportunities for rapid growth and leadership. - The chance to make a meaningful impact in a high-growth startup.
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