PAYER ENROLLMENT SUPERVISOR

Job Title:

Payer Enrollment Supervisor

Department:

Business Office

Full Time/PRN:

Full Time

Job Summary

The Payer Enrollment Supervisor oversees all provider enrollment and revalidation activities to ensure timely and accurate enrollment with all payers. This role is responsible for supervising enrollment staff, monitoring regulatory changes, maintaining payer compliance, training of staff and supporting revenue cycle stability by preventing enrollment-related claim denials or payment delays. The Supervisor ensures processes are organized, compliant, and proactive, while supporting team development and cross-department collaboration.

Essential Duties & Responsibilities

Team Leadership & Oversight: Supervise and manage the daily activities of payer enrollment specialists; Conduct regular team meetings; Monitor team performance; Oversee and sign off on time; All other duties as assigned. Workflow & Process Management: Oversee provider enrollment and re-enrollment processes; Ensure timely submission and follow-up; Analyze workflows and implement improvements. Compliance & Regulatory Adherence: Ensure compliance with payer policies and CMS regulations; Stay current with payer requirements. Training & Development: Provide coaching, mentoring, evaluations; Develop and update training materials. Issue Resolution: Handle escalated issues; Troubleshoot discrepancies. Data & Reporting: Maintain accurate databases; Prepare reports. Cross-Department Collaboration: Work with credentialing, billing, and compliance; Participate in onboarding projects.

Minimum Qualifications

High school diploma or equivalent; Associate’s or Bachelor’s degree preferred; Previous experience in payer enrollment strongly preferred; Strong understanding of CMS processes; Knowledge of CAQH, PECOS, NPPES, payer portals; Excellent attention to detail; Ability to train staff; Advanced Excel preferred; Strong problem-solving and communication skills; Familiarity with HIPAA regulations; Ability to prioritize tasks and manage multiple responsibilities.

Physical Requirements

This position typically operates in an office environment or remotely depending on organizational needs. Requires use of computers and office equipment, and regular communication with patients, insurance companies, and internal departments. All candidates must be able to perform essential functions. ADA accommodations will be provided as needed.

All candidates must be able to perform the essential functions of this position. The American with Disabilities Act (ADA) requires that reasonable accommodations be made for qualified individuals to help perform the essential functions of the position.

South Central Regional Medical Center is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender, national origin, age, disability, or genetic information.