Specialist, Quality Control Payer Enrollment

Medallion

Remote, US
Base: $24ph - $31ph depending on location + level;...
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2+ years payer enrollment experience
2+ years quality control experience
Proficiency in caqh pecos availity medicaid
** Medallion is seeking a Specialist in Quality Control Payer Enrollment to ensure compliance and accuracy in payer enrollment files. The ideal candidate should possess a strong attention to detail, relevant experience in payer enrollment and quality control, and proficiency in data management tools. **

Job Summary

  • This role ensures payer enrollment files adhere to stringent quality standards while maintaining compliance with payer-specific guidelines.
  • The specialist is responsible for identifying errors or omissions in enrollment applications and taking corrective actions to prevent resubmission.
  • Medallion is a leading provider operations platform backed by top investors like Sequoia Capital and Google Ventures.

Matching Summary

Match Score: 75

** Medallion is seeking a Specialist in Quality Control Payer Enrollment to ensure compliance and accuracy in payer enrollment files. The ideal candidate should possess a strong attention to detail, relevant experience in payer enrollment and quality control, and proficiency in data management tools. **

Salary

Base: $24/hr - $31/hr depending on location and level; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • 2+ years payer enrollment experience
  • 2+ years quality control experience
  • Proficiency in CAQH PECOS Availity Medicaid
  • Strong analytical skills to spot trends
  • Detail-oriented data accuracy verification

Nice-to-have

  • PESC CPCS CPMSM CPHQ certifications preferred
  • Effective communication with stakeholders
  • Team oriented collaborative environment
  • Experience reducing submission rejections
  • Ability to maintain production flow

Key Requirements

  • 2+ years of payer enrollment experience
  • 2+ years of quality control experience
  • Proficient in Microsoft Excel
  • Preferred: PESC, CPCS, CPMSM, CPHQ certifications

Work Rights

Not specified

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