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XiFin, Inc. · 2 months ago

Supervisor, Provider Enrollment

Westlake Village, CA, US

Full-time

Onsite

Mid, Senior Level

$55K/yr - $70K/yr

5+ years exp

XiFin is a healthcare technology company focused on transforming the healthcare system through innovative technologies. The Provider Enrollment Supervisor is responsible for overseeing provider enrollment and credentialing activities, ensuring compliance with regulatory standards, and serving as a liaison between providers and payers.

Enterprise SoftwareHealth CareHealth DiagnosticsInformation TechnologyMedical DeviceSoftware

Responsibilities

Supervise and mentor a team of Provider Enrollment Specialists, assigning workloads and monitoring performance

Provide training, guidance, and performance evaluations to ensure staff meet quality and productivity standards

Oversee the preparation, submission, and tracking of provider enrollment and revalidation applications with Medicare, Medicaid, and commercial payers and provide hands-on support when necessary to meet deadlines and uphold service standards

Ensure credentialing and recredentialing activities meet payer and accreditation standards and due dates

Develop and implement standardized workflows and process improvements to enhance efficiency and compliance

Maintain up-to-date knowledge of payer requirements, regulatory changes, and enrollment procedures

Ensure all enrollment activities comply with CMS, NCQA, and other accreditation or regulatory standards

Conduct regular quality audits to verify accuracy and completeness of submitted applications and documentation

Maintain confidentiality of provider and organizational information in accordance with HIPAA guidelines

Serve as the primary contact for internal stakeholders regarding provider enrollment status and issues, providers, practice managers, and payer representatives

Work cross-functionally with Revenue Cycle, Contracting, and Credentialing teams to ensure seamless onboarding and reimbursement

Communicate payer process updates and changes to team members and leadership by developing, updating, and maintaining SOPs related to enrollment workflows, checklists, and best practices

Track and report on provider enrollment metrics, including turnaround times, error rates, and backlog

Prepare monthly and quarterly status reports for management review

May require occasional extended hours to meet deadlines or during peak enrollment periods

Qualification

Provider enrollment experienceCredentialing standardsEnrollment systems proficiencyRegulatory requirements knowledgeMicrosoft Office SuiteAnalytical skillsOrganizational skillsProblem-solving skillsCommunication skillsTeamwork

Required

Strong understanding of provider data management, credentialing standards, start-to-end enrollment processes, and regulatory requirements

Excellent organizational, analytical, and problem-solving skills

Proficiency in provider enrollment systems, payer portals, and Microsoft Office Suite

Demonstrate a proactive, hands-on approach to problem-solving and workflow management

Effective written and verbal communication skills with providers, payers, and internal departments

Lead with integrity, accountability, and commitment to teamwork

Ability to manage and adapt quickly to multiple priorities in a fast-paced environment while ensuring deadlines and compliance requirements are met

Minimum 5 years of provider enrollment experience, with at least 3 years in Medicare and Medi-Cal enrollment

Exceptional organizational skills with the ability to manage multiple providers, Tax IDs, and deadlines

Proficiency with Microsoft Office Suite and enrollment tracking systems

Preferred

Bachelor's degree in healthcare administration, business, or related field preferred

At least 1–2 years of supervisory or lead experience preferred

Radiology and Teleradiology-specific enrollment experience highly preferred

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

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.

Glassdoor3.6

XiFin is a healthcare information technology company that empowers healthcare organizations to navigate an increasingly complex and evolving healthcare landscape.

Founded in 1997

San Diego, California, USA

1001-5000 employees