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Payer Enrollment Specialist – Contract
MedallionPayer Enrollment Specialist managing vendor performance and health plan enrollment requests for Medallion. Ensuring compliance and maintaining client satisfaction on multiple accounts.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing the health plan enrollment process, ensuring compliance with payer-specific requirements and maintaining thorough documentation. Strong ability to build relationships with payer representatives and effectively communicate enrollment status to clients.
Highest-signal resume keywords
Payer Enrollment ProcessesGSuites Tools ProficiencyDetail OrientationEffective CommunicationTeam Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Health Plan EnrollmentDocumentation ManagementCompliance MonitoringEnrollment Process CoordinationPayer-Specific Requirements
Soft Skills
Relationship BuildingProblem SolvingAttention to Detail
Tools & Technologies
GSuitesGSheetsGDocsGMailMedallion Systems
Industry Keywords
Payer PoliciesState RegulationsFederal RegulationsEnrollment DelaysRevalidation Processes
About the role
Key responsibilities & impact- Oversee the end-to-end health plan enrollment process—from application retrieval to client notification—by coordinating with external vendor partners; 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 discrepancies by effectively coordinating with providers, payers, and vendor partners.
- Stay current with payer policies, state and federal regulations, and industry best practices relevant to enrollment processes.
- Perform other duties and responsibilities as assigned.
Requirements
What you’ll need- Familiarity with payer enrollment-related applications and processes.Typically this is seen with at least 3+ years of direct experience with enrollments
- Expertise in using GSuites tools include GSheets, GDocs, and GMail
- Detail oriented and able to ensure the complex enrollment packages are complete and correct
- Able to communicate well with a wide variety of internal and external contacts at all levels of the organization
- Must be able to work cohesively in a team oriented environment and be able to foster good working relationships with others both within and outside the organization
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Medallion Website LinkedIn All Job Openings 51 - 200 employees Founded 2020 ⚕️ Healthcare Insurance ☁️ SaaS 🤖 Artificial Intelligence 🔥 Funding within the last year 💰 $43M Series C - Medallion on 2025-08 Healthcare Insurance
- SaaS
- Artificial Intelligence Medallion is an AI-powered healthcare operations company that provides a SaaS platform to automate provider credentialing, payer enrollment, licensing, privileging, and ongoing monitoring. The platform uses machine learning and real-time automation to extract and standardize data, manage payer-specific and state rules, run automated follow-ups, and ensure compliance with NCQA and TJC standards—reducing costs and accelerating provider onboarding. Medallion serves payers, provider groups, health systems, RCM organizations, and digital health companies with a focus on lowering administrative burden and improving network readiness. Payer Enrollment Specialist – Contract 🔥 46 minutes ago 🇺🇸 United States – Remote 💵 $20 - $28 / hour ⏳ Contract/Temporary 🟡 Mid-level 🟠 Senior ✨ Enrollment Specialist 🦅 H1B Visa Sponsor Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Oversee the end-to-end health plan enrollment process—from application retrieval to client notification—by coordinating with external vendor partners; 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 discrepancies by effectively coordinating with providers, payers, and vendor partners.
- Stay current with payer policies, state and federal regulations, and industry best practices relevant to enrollment processes.
- Perform other duties and responsibilities as assigned. 🎯 Requirements
- Familiarity with payer enrollment-related applications and processes.Typically this is seen with at least 3+ years of direct experience with enrollments
- Expertise in using GSuites tools include GSheets, GDocs, and GMail
- Detail oriented and able to ensure the complex enrollment packages are complete and correct
- Able to communicate well with a wide variety of internal and external contacts at all levels of the organization
- Must be able to work cohesively in a team oriented environment and be able to foster good working relationships with others both within and outside the organization Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Patient Enrollment Specialist 🕒 June 25 PharmD Live 51 - 200 ⚕️ Healthcare Insurance 🤖 Artificial Intelligence ☁️ SaaS Website LinkedIn All Job Openings Patient Enrollment Specialist connecting eligible patients to PharmD Live’s clinical programs through education and enrollment. Engaging with patients via inbound and outbound calls while ensuring compliance and documentation. 🇺🇸 United States – Remote 💰 $1M Seed Round on 2022-02 ⏳ Contract/Temporary 🟡 Mid-level 🟠 Senior ✨ Enrollment Specialist Payer Enrollment Specialist 🕒 June 24 Big Leap Health 1 - 10 🏪 Marketplace ⚕️ Healthcare Insurance 👥 B2C Website LinkedIn All Job Openings Payer Enrollment Specialist for fast-growing clinician group focused on mental health. Managing provider enrollment with various payers remotely in the United States. 🇺🇸 United States – Remote 💵 $22 - $28 / hour ⏳ Contract/Temporary 🟢 Junior 🟡 Mid-level ✨ Enrollment Specialist 🚫👨🎓 No degree required Enrollment Specialist 🕒 June 24 Camber 51 - 200 ⚕️ Healthcare Insurance 🤝 B2B ⚡ Productivity Website LinkedIn All Job Openings ERA/EFT Enrollment Specialist for managing automated payment receipts and EOBs. Ensuring payers have accurate billing information and assisting the payments department. 🇺🇸 United States – Remote 💵 $18 - $20 / hour ⏳ Contract/Temporary 🟡 Mid-level 🟠 Senior ✨ Enrollment Specialist 🦅 H1B Visa Sponsor 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs