About this role
About Medallion:
At Medallion, we believe healthcare teams should focus on what truly matters—delivering exceptional patient care. That’s why we’ve built a leading provider operations platform to eliminate the administrative bottlenecks that slow healthcare organizations down. By automating licensing, credentialing, payer enrollment, and compliance monitoring, Medallion empowers healthcare operations teams to streamline their workflows, improve provider satisfaction, and accelerate revenue generation, all while ensuring superior patient outcomes.
As one of the fastest-growing healthcare technology companies—ranked No. 3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the Pacific Region, No. 5 on LinkedIn's 2024 Top Startups in the US, a Glassdoor Best Place to Work in 2024 & 2025, and featured on The Today Show—Medallion is revolutionizing provider network management. Our CEO, Derek Lo, has been named one of the Top 50 Healthcare Technology CEOs of 2024 by The Healthcare Technology Report. Backed by $130M in funding from world-class investors like Sequoia Capital, Google Ventures, Optum Ventures, Salesforce Ventures, Acrew Capital, Washington Harbour, and NFDG, we’re on a mission to transform healthcare at scale.
We prioritize candidate safety. Please be aware that official communication will only come from @medallion.co email addresses.
About the Role:
As a Quality Payer Enrollment Specialist at Medallion, you will ensure that payer enrollment files adhere to our stringent quality standards. We are looking for someone who is highly detail-oriented and able to maintain accuracy in a high-volume, fast-paced environment. This role is critical to our success, as you will be responsible for identifying errors or omissions in enrollment applications and taking corrective actions to maintain compliance with payer-specific guidelines.
Compensation for this role is between $19/hr - $27/hr depending on location and level.
Responsibilities:
- Review payer enrollment submissions to ensure data accuracy and compliance with payer-specific guidelines before submission.
- Verify that all required documents (licenses, certifications, etc.) are included and up-to-date in each enrollment file.
- Flag errors or omissions in applications and communicate with team members for quick resolution to prevent resubmission.
- Deliver real-time feedback on errors and quality issues to the enrollment team, helping maintain production flow.
- Maintain detailed records of errors, corrective actions, and trends to support ongoing quality improvements.
- Work closely with the enrollment team to address quality-related issues and ensure compliance without disrupting production timelines.
- Confirm that all submissions meet payer-specific compliance standards and documentation requirements, reducing the risk of rejections or delays.
Skills and Requirements:
- 5+ years of payer enrollment experience with applications and processes
- 3+ years of quality control experience
- Proficient in Microsoft Excel
- Strong Analytical skills: must be able to spot trends and identify outliers
- Obsessed with details: able to identify discrepancies in information, processes, and policies.
- Effectively communicate with stakeholders at various levels.
- Must be able to work cohesively in a team oriented environment and be able to foster good working relationships with others both within and outside the organization
#LI-Remote
Other facts
About Medallion
Medallion's purpose-built AI and automation drives efficiency, quality, and scale across your operations, all with expert oversight. Built from the ground up, Medallion unifies provider operations into a single platform that automates credentialing, payer enrollment, monitoring, and licensing.
By streamlining complex workflows and eliminating administrative bottlenecks, Medallion helps healthcare organizations operate faster, stay compliant, and expand their provider networks with confidence. Trusted by over 300 healthcare organizations Medallion empowers healthcare teams to focus on what matters most: delivering exceptional care.
Backed by $130M in funding from world-class investors like Sequoia Capital, Google Ventures, Optum Ventures, Salesforce Ventures, Acrew Capital, Washington Harbour, and NFDG, we’re on a mission to transform healthcare at scale.
Please note: Medallion's only official email address domain is “@medallion.co,” and we are only recruiting for the positions listed on our careers site (medallion.co/careers). If you have been contacted by any other email domain, completed a written interview, offered a position that’s not on our website, or received any other suspicious communication, please do not engage and review the resources available to you from the FTC at https://consumer.ftc.gov/articles/job-scams.
What you'll do
- The Quality Payer Enrollment Specialist will review payer enrollment submissions for accuracy and compliance with guidelines. They will also identify errors, communicate with team members for resolutions, and maintain records to support quality improvements.
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