Medallion · 2 days ago
Specialist, Quality Payer Enrollment
United States
Full-time
Remote
Senior Level
$19/hr - $27/hr
5+ years expMedallion is a leading healthcare technology company focused on streamlining provider operations. The Quality Payer Enrollment Specialist will ensure that payer enrollment files meet quality standards and compliance, identifying errors and maintaining accuracy in a fast-paced environment.
Artificial Intelligence (AI)Business Process Automation (BPA)Enterprise SoftwareHealth CareManagement Information Systems
Responsibilities
Review payer enrollment submissions to ensure data accuracy and compliance with payer-specific guidelines before submission
Verify that all required documents (licenses, certifications, etc.) are included and up-to-date in each enrollment file
Flag errors or omissions in applications and communicate with team members for quick resolution to prevent resubmission
Deliver real-time feedback on errors and quality issues to the enrollment team, helping maintain production flow
Maintain detailed records of errors, corrective actions, and trends to support ongoing quality improvements
Work closely with the enrollment team to address quality-related issues and ensure compliance without disrupting production timelines
Confirm that all submissions meet payer-specific compliance standards and documentation requirements, reducing the risk of rejections or delays
Qualification
Required
5+ years of payer enrollment experience with applications and processes
3+ years of quality control experience
Proficient in Microsoft Excel
Strong Analytical skills: must be able to spot trends and identify outliers
Obsessed with details: able to identify discrepancies in information, processes, and policies
Effectively communicate with stakeholders at various levels
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
Company
Medallion
Medallion automates credentialing, enrollment, onboarding, and compliance to streamline healthcare network operations.
51-200 employees
H1B Sponsorship
Medallion 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 (4)
2024 (7)
2023 (8)
2022 (2)
2021 (2)
Funding
Current Stage
Growth StageTotal Funding
$128MKey Investors
Acrew CapitalSequoia CapitalSpark Capital
2025-08-18Series C· $43M
2022-06-23Series C· $35M
2021-11-03Series B· $30M
Leadership Team
Derek Lo
Founder & CEO
Recent News
Fierce Healthcare
2025-09-02
Company data provided by crunchbase