Job Posting Closing Date: Open until Filled
Where do you belong?
Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.
USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.
Job Description
The Point of Contact, Provider Enrollment serves as a vital support resource for the Provider Enrollment team. This role involves resolving enrollment issues by answering staff inquiries, providing expert recommendations, verifying payer requirements, monitoring enrollment status, and ensuring proper follow-up on Provider Issue Forms. The position also facilitates both group and individual provider enrollments with commercial and government payers, helping to streamline processes and maintain compliance.
Location: Remote
ESSENTIAL JOB FUNCTIONS:
Monitor enrollment status for group and individuals.
Performs and assists with other department duties as required.
Act as the primary resource for Provider Enrollment staff by promptly resolving questions and concerns, providing clear guidance, and escalating complex issues to the Team Lead or Manager when necessary.
Deliver coaching, training, and quality audits on assigned tasks to enhance team knowledge and accuracy. Collaborate closely with the Team Lead to assess team performance, identify opportunities for improvement, and drive continuous operational excellence.
Support the Team Lead in tracking inventory and production metrics, proactively managing workflow, and facilitating timely escalation to ensure smooth operations and meet organizational goals.
Develop proficiency in engaging with payors to address and resolve identified enrollment issues efficiently.
Research and review individual Provider Issue Forms to determine appropriate follow-up actions and resolutions.
Collaborate with the Team Lead to review risks and concerns related to missing documents, ensuring timely mitigation.
Maintain and update critical documentation including payer enrollment matrices, standard operating procedures (SOPs), new site sheets, email templates, and welcome letters to support consistent communication and process adherence.
Generate and distribute detailed reports on provider credentialing and enrollment data to various departments, supporting informed decision-making across the organization.
Stay current on evolving state enrollment requirements for both group and individual providers to ensure compliance and accurate application processing.
Assist Contract Implementation staff by accurately documenting enrollment and billing requirements tied to payer contracts.
Support IntelliCred Application Mapping efforts to optimize enrollment workflows.
Facilitate the completion and submission of payer enrollment applications for government and commercial payers, ensuring accuracy and timeliness.
Monitor application statuses continuously to detect emerging issues early and communicate them effectively to the team for prompt resolution.
Perform and assist with other department duties as required to support overall team success.
KNOWLEDGE, SKILLS AND ABILITIES:
Meticulous follow-through on delegated tasks, ensuring completion, quality, and adherence to deadlines through effective staff coordination.
Demonstrated leadership capabilities, including commitment to team development, adaptability to change, and alignment with organizational goals and continuous improvement initiatives.
Exceptional attention to detail, consistently producing highly accurate work.
Strong…