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Payer Enrollment Supervisor

lyrahealth

New
Senior 🇬🇧 English
CAQH NPPES PECOS CredentialStream Salesforce Zendesk

Job description

About the role

Lyra Health, a provider of evidence-based mental health care, is seeking a Payer Enrollment Supervisor to lead and oversee payer enrollment operations, provider participation and enrollment program integrity. The role covers the full payer enrollment lifecycle, from initial enrollments and revalidations to roster submissions and payer maintenance, with a focus on accuracy, timeliness and compliance.

Key responsibilities

  • Oversee the end-to-end payer enrollment and maintenance lifecycle for individual and group providers, including initial enrollments, revalidations, re-credentialing-related activities, demographic updates, roster submissions and other payer requirements.
  • Supervise, coach and support enrollment staff through workload oversight, training, performance management and quality review.
  • Serve as subject matter expert on commercial payer enrollment requirements and an escalation point for payer, provider and enrollment issues.
  • Maintain CAQH profiles, including demographics, credentials, attestations and supporting documentation, and monitor expirations and outstanding updates.
  • Monitor applications, payer statuses, rosters and effective dates to spot delays and risks to provider participation or billing readiness.
  • Communicate directly with commercial payers to clarify requirements, resolve issues and escalate complex matters.
  • Work with Credentialing, Contracting, Compliance, Legal, Provider Operations, Revenue Cycle and Billing teams to align provider data, contracts and billing readiness.
  • Maintain accurate enrollment records and documentation, and develop and improve enrollment policies, workflows and controls.
  • Track and report enrollment metrics and KPIs, and lead process improvement and automation initiatives.

Required profile

  • Bachelor's degree preferred (or equivalent work experience).
  • 4+ years of payer enrollment experience in a healthcare organization, medical group, health plan, hospital, CVO or behavioral health setting.
  • 2+ years of lead or supervisory experience preferred.
  • Proven ability to coach, manage accountability and lead a team.
  • Detail-oriented self-starter who handles competing deadlines and escalations.

Required skills

  • CAQH, NPPES, PECOS and payer portal platforms
  • Credentialing software such as CredentialStream
  • Ticketing systems such as Salesforce and Zendesk
  • Understanding of how credentialing, contracting, enrollment and revenue cycle operations connect

Questions fréquentes

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Source : ats:lever

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Published 6 days ago

Expires 1 month from now

5 views · 0 interested

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