Provider Enrollment Associate-Lead - Riedman Campus, Admin/Business Support (Full-Time, Days)

JOB TITLE: Provider Enrollment Associate-Lead

• Riedman Campus, Admin/Business Support (Full-Time, Days) STATUS: Full-time LOCATION: Riedman Campus - 100 Kings Highway South, Rochester, NY 14617 SCHEDULE: M-F, 8:00 AM - 4:30 PM; can be flexible to start earlier SUMMARY: In addition to performing in the role of a Provider Enrollment Associate, provides leadership and assists the Director in facilitating the workflow, for a team of Provider Enrollment Associates. Provides knowledge, expertise and guidance to the team, thus ensuring credentialing is completed in an organized and timely fashion. Credentialing includes but is not limited to all carrier forms and online credentialing application processes and maintenance and training of Provider Enrollment Associates for Apogee software. Position requires thorough application review and filing with appropriate follow-up to ensure prompt payment by payors.

RESPONSIBILITIES

Plans, organizes, assigns, and supervises the day-to-day operations and workflow of the Provider Credentialing team. Provides leadership, guidance, and subject matter expertise to Provider Credentialing Associates, ensuring work is completed accurately, timely, and in accordance with regulatory standards. Orients, trains, coaches, and evaluates team members to support a competent and productive workforce.

Monitors team workload and staffing coverage to ensure operational demands, priorities, and deadlines are met. Partners with the Manager/Director regarding team performance, recognition, coaching, and performance management. Develops and implements electronic processes and workflow improvements to increase efficiency, accuracy, and productivity.

Reviews and validates provider qualifications and ensures completion of credentialing and enrollment applications. Prepares, reviews, and submits provider applications and supporting documentation to contracted insurance payors in a timely manner while maintaining confidentiality. Ensures the accuracy and integrity of provider data and credentialing records, including monitoring the Apogee credentialing software.

Serves as a key liaison with administration, practice managers, provider recruitment, hospital credentialing, and external vendors to facilitate provider enrollment and credentialing activities.

MINIMUM QUALIFICATIONS

Basic computer skills required. Excellent customer service and communication skills required.

Minimum Qualifications

Associate's degree or an equivalent combination of education and work experience. 4 years related work experience in a healthcare setting preferred. NYS Notary Public required 1 year from date of hire (Per Diem employees excluded).

EDUCATION

LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: Sedentary

• Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE

$19.75 - $23.00 CITY: Rochester POSTAL CODE: 14617 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.