Assistant Manager - Payer Enrollment

Iopex

Chennai District

On-site

INR 900,000 - 1,200,000

Full time

3 days ago
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Job summary

Assured Health in Chennai, India, is seeking an Assistant Manager Provider Enrollment to support the Provider Enrollment Manager in overseeing end-to-end enrollment for providers with Medicare, Medicaid, and commercial payors. The role focuses on supervising a segment of the enrollment team, ensuring compliance and timely submissions.

You will collaborate with credentialing, licensing, and operations to validate provider data, review CAQH profiles, NPIs, licenses and contracts, and prepare data

Qualifications

  • 7–10 years of experience in Provider Enrollment
  • Strong knowledge of Medicare, Medicaid and commercial enrollment processes
  • Experience with CAQH, NPPES, PECOS and provider management systems

Responsibilities

  • Assist the Manager in supervising and coordinating the daily activities of a segment of the provider enrollment team
  • Monitor and ensure adherence to SLAs and quality standards for team deliverables
  • Oversee enrollment submissions, follow-up, and tracking for Medicare, Medicaid, and commercial payors
  • Coordinate with credentialing, licensing, and operations to ensure accuracy of provider data
  • Review provider information, CAQH profiles, NPI, licenses and contracts for approval
  • Support data collection for performance metrics and audits
  • Identify bottlenecks and support process improvements
  • Handle escalations and complex enrollment cases
  • Stay updated with regulatory and payor changes and communicate updates to the team
  • Prepare preliminary reports for management and assist with audits

Skills

Communication skills
Analytical skills
Team coaching

Tools

CAQH
NPPES
PECOS

Job description

Job Description: Assistant Manager - Provider Enrollment

Location: Chennai, India

Company: Assured Health (withassured.com)

About the Role:

We are seeking a proactive and detail-oriented Assistant Manager Provider Enrollment to support the Provider Enrollment Manager in overseeing the end-to-end enrollment process for healthcare providers with commercial and government payors. The ideal candidate will be responsible for supervising a segment of the team, ensuring strict compliance with payor requirements, and actively contributing to process improvements for timely and accurate enrollments.

Key Responsibilities:
  • Assist the Manager in supervising and coordinating the daily activities of a segment of the provider enrollment team.
  • Monitor and ensure adherence to SLAs and quality standards for team deliverables.
  • Oversee and execute the submission, follow-up, and tracking of Medicare, Medicaid, and commercial payor enrollments.
  • Coordinate directly with credentialing, licensing, and operations teams to ensure the accuracy of provider data in all systems.
  • Perform detailed review and validation of provider information, including CAQH profiles, NPI, licenses, and contracts for approval by the Manager.
  • Support the Manager in developing and collecting data for performance metrics (efficiency and turnaround time).
  • Identify and report process bottlenecks and support the implementation of best practices.
  • Handle and resolve Tier 1 and Tier 2 escalations and complex enrollment cases before escalating to the Manager.
  • Stay updated with regulatory and payor-specific changes, communicating key updates to the team and Manager.
  • Prepare preliminary reports for management and assist with audit preparation.
Qualifications:
  • 7–10 years of experience in Provider Enrollment, with at least 3 year of experience in a lead, supervisory, or mentorship role.
  • Strong working knowledge of Medicare, Medicaid, and commercial insurance enrollment processes.
  • Hands-on experience with CAQH, NPPES, PECOS, and other provider management systems.
  • Excellent communication, analytical, and team coaching/mentoring skills.
  • Ability to manage priorities and track multiple tasks in a fast-paced environment.
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