Payer Enrollment Supervisor

3 weeks, 4 days ago
Full-time
Mid Level
Operations
Lyra Health

Lyra Health

Lyra Health is a global leader in mental health benefits, connecting companies and employees to world-class therapists and coaches. Their innovative platform offers fast, reliable access to evidence-based care for organizational well-being.

Health Care Providers & Services
1K-5K
Founded 2015
$627M raised

Description

  • Oversee the full payer enrollment and maintenance lifecycle for individual and group providers, including enrollments, revalidations, demographic updates, and roster submissions.
  • Supervise, coach, train, and review payer enrollment staff while managing workload and performance.
  • Serve as a subject matter expert and escalation point for commercial payer enrollment requirements and participation issues.
  • Maintain CAQH profiles, provider information, attestations, re-attestations, and supporting documentation.
  • Monitor applications, payer statuses, rosters, and effective dates to identify delays or risks to participation and billing readiness.
  • Communicate with commercial payers to clarify requirements and resolve enrollment discrepancies and delays.
  • Collaborate with Credentialing, Contracting, Compliance, Legal, Provider Operations, Revenue Cycle, and Billing teams.
  • Maintain accurate enrollment records and documentation for audits and compliance reviews.
  • Develop and improve enrollment policies, workflows, controls, and automation initiatives.
  • Track enrollment metrics and stay current on payer requirements, regulations, CAQH processes, and industry practices.

Requirements

  • Bachelor’s degree preferred, or equivalent work experience.
  • 4+ years of payer enrollment experience in a healthcare, medical group, health plan, hospital, CVO, or behavioral health setting.
  • 2+ years of lead or supervisory experience preferred.
  • Ability to coach employees, manage accountability, and lead teams to meet quality and timeliness standards.
  • Strong knowledge of commercial payer enrollment, provider participation, roster management, and revalidations.
  • Experience with CAQH, NPPES, PECOS, payer portals, credentialing software, and ticketing systems such as CredentialStream, Salesforce, or Zendesk.
  • Understanding of the relationship between credentialing, contracting, enrollment, and revenue cycle operations.
  • Strong analytical, organizational, interpersonal, and process improvement skills.
  • Ability to manage competing deadlines, ensure follow-through, and resolve complex payer and provider escalations.

Interested in this position?

Apply directly on the company website

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