Medallion
healthcare technology
Specialist,PayerEnrollment(Contract)
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“Specialist, Payer Enrollment (Contract) at Medallion. Skills: Payer enrollment, Process management, Cross-functional coordination. Complete escalated enrollment requests. Monitor in-process enrollments”
What You'll Achieve.
Streamline workflows; Improve provider satisfaction; Accelerate revenue generation; Ensure superior patient outcomes; Improve approval timelines
Industry & Context.
Investigate and resolve enrollment delays, rejections, or discrepancies
What They're Looking For.
Must Have
3+ years of direct experience with enrollments, Familiarity with payer enrollment-related applications and processes
What You'll Do.
Complete escalated enrollment requests
Monitor in-process enrollments
Maintain thorough documentation
Maintain in-depth understanding of payer requirements
Ensure supporting documentation is maintained
Prepare client updates
Build relationships with payer representatives
Support revalidation processes
Track and monitor payer enrollment timelines
Resolve enrollment delays or rejections
Stay current with payer policies and regulations
Perform other duties as assigned
How You'll Work.
Team & Collaboration
Coordinate with providers, payers, and vendor partners; Work cohesively in a team oriented environment; Foster good working relationships with others
Communication Scope
Communicate well with a wide variety of internal and external contacts
Full Job Description
About Medallion: At Medallion, we believe healthcare teams should focus on what truly matters - delivering exceptional patient care. That’s why we’ve built a leading provider operations platform to eliminate the administrative bottlenecks that slow healthcare organizations down. By automating licensing, credentialing, payer enrollment, and compliance monitoring, Medallion empowers healthcare operations teams to streamline their workflows, improve provider satisfaction, and accelerate revenue generation, all while ensuring superior patient outcomes. As one of the fastest-growing healthcare technology companies - ranked #3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the Pacific Region, #5 on LinkedIn's 2024 Top US Startups, a Glassdoor Best Place to Work in 2024 directly complete highly escalated enrollment requests as needed. Ensure that all in-process enrollments are appropriately monitored through consistent follow-up (via telephone, email, and portal), and maintain thorough, timely documentation within Medallion systems. Maintain in-depth understanding of payer-specific enrollment requirements, including prerequisites, required forms, completion standards, supporting documentation (e.g., DEA certificates, CVs), and applicable regulations. Ensure that all necessary supporting documentation is accurately maintained in provider profiles, including onboarding documents, application copies, welcome letters, and other related correspondence. Prepare client updates to communicate enrollment status and progress as required. Build and maintain strong working relationships with payer representatives and contracting departments to help streamline future submissions and improve approval timelines. Support revalidation processes to maintain active provider participation in health plans. Track and monitor payer enrollment timelines and deadlines to ensure compliance with submission requirements. Investigate and resolve enrollment delays, rejections, or discrepa
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