XiFin, Inc. · 3 months ago
Sr. Provider Enrollment Specialist
Westlake Village, CA, US
Full-time
Onsite
Senior Level
$22/hr - $29/hr
5+ years expXiFin, Inc. is a healthcare technology company focused on improving the efficiency of healthcare systems through innovative solutions. The Sr. Provider Enrollment Specialist will manage provider enrollment activities for Radiology Group practices, ensuring compliance with Medicare, Medicaid, and commercial payer requirements while serving as a subject matter expert in Radiology enrollment.
Enterprise SoftwareHealth CareHealth DiagnosticsInformation TechnologyMedical DeviceSoftware
Responsibilities
Prepare, submit, and track Medicare, Medicaid, and commercial payer enrollment applications for Radiologists and Radiology Group practices
Maintain current knowledge of enrollment requirements across multiple payers, with a strong emphasis on CMS (Centers for Medicare & Medicaid Services) and DHCS (California Department of Health Care Services) guidelines
Manage the full lifecycle of provider enrollment updates including revalidations, re-enrollments, portal re-attestations, and changes of information (COI) for Radiologists and Radiology Group practices
Audit enrollment records for accurate submissions, timely application processing, payer follow-up, and regulatory requirements to ensure all applications and supporting documents meet payer-specific guidelines
Develop and maintain provider enrollment policies, checklists, and best practices specific to Radiology
Serve as the primary point of contact for Radiologists, practice managers, and payer representatives
Provide status updates on applications and resolve escalated enrollment issues
Collaborate with credentialing, revenue cycle, and compliance teams to align processes
Update and maintain provider enrollment databases with accurate and current provider information, ensuring thorough documentation of all communications and enrollment activities
Generate reports on enrollment status, expirations, and pending applications
Track enrollment timelines to minimize delays in reimbursement
Assist with audits and special projects
Qualification
Required
Minimum 5 years of provider enrollment experience, with at least 3 years in Medicare and Medi-Cal enrollment
Strong understanding of enrollment systems such as CMS PECOS, NPPES, CAQH, Medi-Cal, Availity, etc
Deep familiarity with Medicare Part B and Medi-Cal fee-for-service and managed care enrollment rules
Exceptional organizational skills with the ability to manage multiple providers and deadlines
Strong written and verbal communication skills to clearly and professionally communicate with internal teams, providers and payer representatives
Proficiency with Microsoft Office Suite and enrollment tracking systems
Detail-oriented with a high level of accuracy
Ability to interpret complex enrollment policies and payer guidelines and apply them to daily workflows
Problem-solving and escalation management skills
Strong customer service mindset when interacting with providers and stakeholders
Capacity to work independently and as part of a collaborative team
Ability to safeguard sensitive provider and organizational information in compliance with HIPAA regulations, ensuring confidentiality, security, and ethical management of sensitive information
Preferred
Bachelor's degree in healthcare administration, business, or related field preferred
Radiology and Teleradiology-specific enrollment experience highly preferred
Benefits
Comprehensive health benefits including medical, dental, vision, and telehealth
401(k) with company match and personalized financial coaching to support your financial future
Health Savings Account (HSA) with company contributions
Wellness incentives that reward your preventative healthcare activities
Tuition assistance to support your education and growth
Flexible time off and company-paid holidays
Social and fun events to build community at our locations!
Company
XiFin, Inc.
XiFin is a healthcare information technology company that empowers healthcare organizations to navigate an increasingly complex and evolving healthcare landscape.
1001-5000 employees
H1B Sponsorship
XiFin, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (6)
2023 (8)
2022 (6)
2021 (6)
2020 (5)
Funding
Current Stage
Late StageTotal Funding
$8MKey Investors
Goldman SachsWindward Ventures
2025-09-03Series Unknown
2014-07-30Acquired
2006-09-11Series D· $2M
Leadership Team
Erik Sallee
EVP and Chief Financial Officer
Jeff Carmichael
Senior Vice President Of Engineering
Recent News
Company data provided by crunchbase