Payor Relations & Enrollment Supervisor jobs in United States
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Cochlear · 19 hours ago

Payor Relations & Enrollment Supervisor

Cochlear is the most recognized brand in hearing health care, dedicated to helping people hear and be heard. The Supervisor, Payor Relations & Enrollment is responsible for executing and monitoring payor enrollment, credentialing, and revalidation activities while ensuring compliance with payor requirements and enhancing efficiency and accuracy in the process.

Health CareMedical Device

Responsibilities

Execute and monitor all payor enrollment, credentialing, and revalidation activities to maintain compliance and timely processing
Maintain accurate and up-to-date records of enrollment status, credentialing documentation, and compliance deadlines
Act as the primary liaison with payors for enrollment and credentialing matters, ensuring effective communication and issue resolution
Resolve payor-related issues, including coverage updates, application status, and compliance questions, escalating as needed
Provide guidance and training to team members on enrollment and credentialing workflows and best practices
Collaborate with reimbursement, operations, and compliance teams to align enrollment activities with organizational goals
Analyze enrollment and credentialing data to identify trends, monitor performance, and recommend process improvements
Support continuous process enhancements to improve efficiency, accuracy, and compliance in payor relations and enrollment
Supervise account reconciliation activities for payor-related transactions, ensuring accuracy and timely resolution
Ensure team members deliver reimbursement systems support for Brightree and DocuSign, maintaining workflow integrity

Qualification

Payor enrollment experienceCredentialing experienceMedicareMedicaid knowledgeHealthcare operations experienceTrainingMicrosoft Office proficiencyMentoring staffRelevant certificationsOrganizational skillsCommunication skills

Required

Bachelor's degree in business, healthcare administration, or related field OR equivalent work experience
2+ years experience in payor enrollment, credentialing, payor relations, or healthcare operations
Experience with Medicare, Medicaid, and commercial payor processes
Experience training or mentoring staff
Strong organizational and communication skills
Proficiency with Microsoft Office Suite

Preferred

Relevant certifications (e.g., Certified Provider Credentialing Specialist, Lean Six Sigma) are preferred

Benefits

Medical
Dental
Vision
Life and disability insurance
401(K) matching with immediate vesting
Paid Time Off
Tuition reimbursement
Maternity and paternity leave
Employee Stock Purchase Plan
Pet insurance

Company

Cochlear

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Cochlear is a global expert in implantable hearing solutions.

Funding

Current Stage
Public Company
Total Funding
unknown
1995-12-04IPO

Leadership Team

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Sarah Thom
Chief Financial Officer
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Brian Kaplan
SVP Clinical Strategy and Innovation
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Company data provided by crunchbase