Payer Enrollment Supervisor

South Central Regional Medical Center•Laurel, MS

About The Position

The Payer Enrollment Supervisor oversees all provider enrollment and revalidation activities to ensure timely and accurate enrollment with all payers. This role is responsible for supervising enrollment staff, monitoring regulatory changes, maintaining payer compliance, training of staff and supporting revenue cycle stability by preventing enrollment-related claim denials or payment delays. The Supervisor ensures processes are organized, compliant, and proactive, while supporting team development and cross-department collaboration.

Requirements

High school diploma or equivalent; Associate’s or Bachelor’s degree in healthcare administration or related field preferred.
Previous experience in payer enrollment strongly preferred.
Strong understanding of CMS enrollment processes.
Knowledge of CAQH, PECOS, NPPES, and payer portals.
Excellent attention to detail, accuracy, and organizational skills.
Ability to train new or inexperienced staff.
Advanced Excel or tracking/reporting skills preferred.
Strong problem-solving skills with the ability to identify and resolve issues efficiently.
Ability to communicate effectively with patients, insurance companies, and healthcare providers.
Familiarity with HIPAA regulations and the ability to maintain confidentiality of patient information.
Strong ability to prioritize tasks, meet deadlines, and manage multiple responsibilities.

Responsibilities

Supervise and manage the daily activities of payer enrollment specialists.
Conduct regular team meetings to review goals, challenges, and process improvements.
Monitor team performance and productivity targets.
Oversee and sign off on time.
All other duties as assigned.
Oversee provider enrollment and re-enrollment processes with insurance payers.
Ensure timely submission and follow-up of applications to prevent delays in billing and reimbursement.
Analyze workflows to identify bottlenecks and implement efficiency improvements.
Ensure all enrollment activities comply with payer policies, CMS regulations, and organizational standards.
Stay current with changes in payer requirements and communicate updates to the team.
Provide coaching, mentoring, and performance evaluations for staff.
Develop and update training materials for enrollment processes and best practices.
Handle complex or escalated enrollment issues, coordinating with credentialing, billing, and payer representatives.
Troubleshoot discrepancies in provider data or payer systems.
Maintain accurate provider enrollment databases and internal systems.
Prepare regular reports for management on team performance, enrollment status, and outstanding issues.
Work closely with credentialing, billing, and compliance teams to ensure smooth data flow and accurate enrollment.
Participate in new practice acquisition or onboarding projects as needed.