Provider Enrollment Manager
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Job Description
Provider Enrollment Manager leading enrollment and contracting processes for telemedicine providers at Access TeleCare. Ensuring efficient operations and compliance in a remote work environment.
Responsibilities:
- Deliver high-quality service to operational teams and ensure providers are enrolled with payers accurately and on time
- Oversee team priorities to meet operational and business goals, track and report key performance metrics to leadership
- Ensure all provider privileges remain current and compliant at all times
- Research and resolve complex enrollment and contracting issues
- Build and maintain relationships with internal stakeholders and external partners
- Measure and refine enrollment processes to reduce turnaround times
- Assign and balance team workloads, monitor and guide performance
- Develop department policies and procedures for consistent implementation
- Manage enrollment applications and facilitate provider review and approval before submission
- Support execution of payer contracts for individuals and groups
- Organize and maintain large volumes of documentation efficiently
- Provide regular updates to management through detailed reports
- Partner with Revenue Cycle to resolve held AR issues
- Participate in education and training initiatives to maintain compliance and quality
- Ensure adherence to HIPAA, Corporate Compliance, and confidentiality standards
- Lead staffing activities including hiring, training, evaluating, and coaching
- Set and monitor performance goals; hold team members accountable to defined metrics
- Conduct regular one-on-one meetings to promote awareness, engagement, and growth
Requirements:
- Bachelor’s or associate degree preferred; high school diploma required
- Minimum of two years’ experience in physician hospital credentialing or licensing
- Knowledge of medical terminology and payer regulations
- Familiarity with governmental and commercial payer requirements, applications, and workflows
- Experience with CAQH, PECOS, and State Medicaid portals
- Proficiency in Microsoft Word, Excel, Adobe, and credentialing software
- Strong organizational skills and attention to detail
- Ability to multitask, meet deadlines, and manage multiple priorities independently
- A proactive approach to problem-solving and quality improvement
Benefits:
- Comprehensive health, dental, vision, life, and 401(k) benefits
- Flexible vacation and wellness days
- 100% Remote work with national impact and executive visibility
- A culture of ownership, transparency, and results
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