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Specialist, Payer Enrollment

June 16, 2026

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 #3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the Pacific Region, #5 on LinkedIn's 2024 Top US Startups, 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. The Payer Enrollment Specialist / Account Specialist is responsible for ensuring the accurate and timely processing of health plan enrollment requests on behalf of Medallion’s clients by closely partnering with our vendor. While the Specialist primarily oversees and manages vendor performance to achieve timely, high-quality enrollments, they are also expected to personally complete highly escalated enrollments when necessary. This position requires the management of multiple client accounts, with a focus on maintaining overall client health and satisfaction while ensuring compliance with established Service Level Agreements (SLAs) and Service Level Objectives (SLOs). The Specialist will act as a subject matter expert in payer enrollment requirements, facilitate effective collaboration between internal teams, vendors, and payers, and proactively address any barriers to successful enrollment. Compensation for this role is between $19/hr - $27/hr depending on location and level. Responsibilities: <ul><li>Oversee the end-to-end health plan enrollment process—from application retrieval to client notification—by coordinating with external vendor partners; directly complete highly escalated enrollment requests as needed.</li><li>Ensure that all in-process enrollments are appropriately monitored through consistent follow-up (via telephone, email, and portal), and maintain thorough, timely documentation within Medallion systems.</li><li>Maintain in-depth understanding of payer-specific enrollment requirements, including prerequisites, required forms, completion standards, supporting documentation (e.g., DEA certificates, CVs), and applicable regulations.</li><li>Ensure that all necessary supporting documentation is accurately maintained in provider profiles, including onboarding documents, application copies, welcome letters, and other related correspondence.</li><li>Prepare client updates to communicate enrollment status and progress as required.</li><li>Build and maintain strong working relationships with payer representatives and contracting departments to help streamline future submissions and improve approval timelines.</li><li>Support revalidation processes to maintain active provider participation in health plans.</li><li>Track and monitor payer enrollment timelines and deadlines to ensure compliance with submission requirements.</li><li>Investigate and resolve enrollment delays, rejections, or discrepancies by effectively coordinating with providers, payers, and vendor partners.</li><li>Stay current with payer policies, state and federal regulations, and industry best practices relevant to enrollment processes.</li><li>Perform other duties and responsibilities as assigned. </li></ul>Skills and Requirements: <ul><li>Familiarity with payer enrollment-related applications and processes.Typically this is seen with at least 3+ years of direct experience with enrollments</li><li>Expertise in using GSuites tools include GSheets, GDocs, and GMail</li><li>Detail oriented and able to ensure the complex enrollment packages are complete and correct</li><li>Able to communicate well with a wide variety of internal and external contacts at all levels of the organization</li><li>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></ul>We prioritize candidate safety. Please be aware that official communication will only come from @medallion.co email addresses.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...