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Sr. Provider Enrollment Specialist

XiFin, Inc.

Westlake Village (CA)

On-site

USD 60,000 - 80,000

Full time

Today
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Job summary

A healthcare technology company is seeking a Sr. Specialist, Provider Enrollment to manage and execute enrollment activities for Radiology Group practices. The role involves ensuring compliance with Medicare, Medicaid, and commercial payer requirements. The ideal candidate will have extensive experience in provider enrollment, a bachelor's degree in a related field, and strong organizational skills. The position offers comprehensive health benefits, 401(k) matching, and tuition assistance, and is based in Westlake Village, CA.

Benefits

Comprehensive health benefits
401(k) with company match
Flexible time off
Tuition assistance

Qualifications

  • Minimum 5 years of provider enrollment experience.
  • At least 3 years in Medicare and Medi-Cal enrollment.
  • Strong understanding of enrollment systems.

Responsibilities

  • Prepare, submit, and track enrollment applications.
  • Maintain knowledge of enrollment requirements.
  • Manage provider enrollment updates and audits.

Skills

Detail-oriented
Problem-solving skills
Customer service mindset
Organizational skills
Written and verbal communication

Education

Bachelor’s degree in healthcare administration or related field

Tools

CMS PECOS
NPPES
CAQH
Job description
Base pay range

$22.00/hr - $29.00/hr

About XiFin

At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.

We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.

About The Role

The Sr. Specialist, Provider Enrollment is responsible for managing and executing provider enrollment activities specific to Radiology Group practices, ensuring timely approvals and accurate maintenance to meet Medicare, Medicaid, and commercial payer requirements. This role ensures adherence to federal, state, and payer-specific requirements, supporting the initial enrollment process and ongoing participation of providers and Radiology Group practices in government and commercial health plans. The Sr. Specialist will serve as a subject matter expert in Radiology enrollment, working closely with physicians, practice administrators, billing teams, and regulatory entities to ensure accurate, timely submissions and approvals. This position will sit in our office in either Charleston, SC or Westlake Village, CA.

How you will make an impact
  • Prepare, submit, and track Medicare, Medicaid, and commercial payer enrollment applications for Radiologists and Radiology Group practices.
  • Maintain current knowledge of enrollment requirements across multiple payers, with a strong emphasis on CMS (Centers for Medicare & Medicaid Services) and DHCS (California Department of Health Care Services) guidelines.
  • Manage the full lifecycle of provider enrollment updates including revalidations, re-enrollments, portal re-attestations, and changes of information (COI) for Radiologists and Radiology Group practices.
  • Audit enrollment records for accurate submissions, timely application processing, payer follow-up, and regulatory requirements to ensure all applications and supporting documents meet payer-specific guidelines.
  • Develop and maintain provider enrollment policies, checklists, and best practices specific to Radiology.
  • Serve as the primary point of contact for Radiologists, practice managers, and payer representatives.
  • Provide status updates on applications and resolve escalated enrollment issues.
  • Collaborate with credentialing, revenue cycle, and compliance teams to align processes.
  • Update and maintain provider enrollment databases with accurate and current provider information, ensuring thorough documentation of all communications and enrollment activities.
  • Generate reports on enrollment status, expirations, and pending applications.
  • Track enrollment timelines to minimize delays in reimbursement.
  • Assist with audits and special projects.
What you will bring to the team
  • Detail-oriented with a high level of accuracy.
  • Ability to interpret complex enrollment policies and payer guidelines and apply them to daily workflows.
  • Problem-solving and escalation management skills.
  • Strong customer service mindset when interacting with providers and stakeholders.
  • Capacity to work independently and as part of a collaborative team.
  • Ability to safeguard sensitive provider and organizational information in compliance with HIPAA regulations, ensuring confidentiality, security, and ethical management of sensitive information.
Skills and experience you have
  • Bachelor’s degree in healthcare administration, business, or related field preferred.
  • Minimum 5 years of provider enrollment experience, with at least 3 years in Medicare and Medi-Cal enrollment.
  • Radiology and Teleradiology-specific enrollment experience highly preferred.
  • Strong understanding of enrollment systems such as CMS PECOS, NPPES, CAQH, Medi-Cal, Availity, etc.
  • Deep familiarity with Medicare Part B and Medi-Cal fee-for-service and managed care enrollment rules.
  • Exceptional organizational skills with the ability to manage multiple providers and deadlines.
  • Strong written and verbal communication skills to clearly and professionally communicate with internal teams, providers and payer representatives.
  • Proficiency with Microsoft Office Suite and enrollment tracking systems.
Why XiFin?

We’re more than just a healthcare technology company—we’re a team that cares about people. Here’s a glimpse at what we offer:

  • Comprehensive health benefits including medical, dental, vision, and telehealth
  • 401(k) with company match and personalized financial coaching to support your financial future
  • Health Savings Account (HSA) with company contributions
  • Wellness incentives that reward your preventative healthcare activities
  • Tuition assistance to support your education and growth
  • Flexible time off and company-paid holidays
  • Social and fun events to build community at our locations
Pay Transparency

At XiFin, we believe in pay transparency and fairness. The expected hourly range for this role is $22.00 to $29.00, based on your experience, skills, and geographic location. Depending on your qualifications, you may be considered for either a Provider Enrollment Specialist or Sr. Specialist title. Final compensation will be determined during the selection process and may vary accordingly.

Accessibility & Accommodations

We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2901.

Equal Opportunity Employer

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.

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