Point of Contact, Provider Enrollment

001 USACS Management Group, Ltd.; Ohio; Hybrid; USD 30,000 - 55,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) employee and employer matching

Paid time off, vacation, sick leave, &

Parental leave & family support

Job summary

US Acute Care Solutions is seeking a Provider Enrollment Point of Contact to support enrollment activities for group and individual providers with commercial and government payers.

You will monitor statuses, resolve inquiries, and support training, audits, and workflow improvements while maintaining compliance and documentation throughout the enrollment process.

Qualifications

• High school diploma or equivalent.
• Minimum 2 years’ experience in healthcare provider enrollment.
• Experience with government and commercial payers preferred.

Responsibilities

• Monitor enrollment status for group and individuals.
• Resolve enrollment questions by staff inquiries with guidance.
• Escalate complex issues to Team Lead or Manager.
• Provide coaching, training, and quality audits on enrollment tasks.
• Generate and distribute reports on enrollment data to departments.

Skills

Attention to detail

Communication skills

Leadership

Problem solving

Time management

Discretion

Education

High school diploma or equivalent

Tools

Microsoft Office

Adobe Acrobat

Job description

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 analytical and problem-solving skills to identify issues and implement effective solutions. Proven ability to organize, prioritize, and manage multiple tasks efficiently in a dynamic work environment. Excellent organizational skills with the capacity to balance competing priorities and meet deadlines effectively. Ability to thrive in a multi-tasking environment while maintaining focus and productivity. Strong communication and interpersonal skills, fostering positive relationships with clinicians, external agencies, and management. Proficient oral and written communication skills, delivering information clearly, courteously, and professionally across diverse audiences. Proficient in using personal computers (Windows) with strong emphasis on Microsoft Office programs including Outlook, Word, Excel, and Adobe Acrobat. Ability to maintain patience and composure in difficult situations, always demonstrating professionalism. Capacity to work well under pressure and consistently meet strict deadlines. Commitment to maintain confidentiality and handling sensitive information appropriately. Dedication to teamwork by supporting company and department goals, assisting colleagues in developing their knowledge, and positively adapting to change.

EDUCATION AND EXPERIENCE

High school diploma or equivalent required. Minimum of 2 years’ experience in healthcare provider enrollment. Experience working with government and commercial payers strongly preferred. Prior experience in a fast-paced healthcare environment is an asset.

PHYSICAL DEMANDS

While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds. Required to have close visual acuity to perform the job.

Hourly Rate: $21.59-$39.94 Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.

BENEFITS

• Medical, dental, and vision insurance options
• Health savings accounts (HSA) and flexible spending accounts (FSA)
• 401(k) employee and employer contributions
• Paid time off, including vacation, sick leave, and company holidays
• Paid parental leave & family support benefits
• Short-term and long-term disability insurance
• Life and accidental death & dismemberment (AD&D) insurance
• Employee assistance programs & wellness resources
• Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.

Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.

USACS

US Acute Care Solutions (USACS) is the leading Clinician-centric provider of hospital-based emergency and inpatient medicine. Delivering emergency, hospital, and critical care medicine services to hospitals and health systems across the nation, we serve 11 million patients annually in 400+ programs across 27 states. As a practice, we prioritize the personal and professional satisfaction of every member of our incredible team. We offer competitive benefits and unlimited paths for advancement, complemented by a culture of robust support.