Sr. Provider Enrollment Specialist at XiFin

Are you interested in harnessing technology and AI to transform healthcare?

 At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.

We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.

About the Role

The Sr. Specialist, Provider Enrollment is responsible for managing and executing provider enrollment activities specific to Radiology Group practices, ensuring timely approvals and accurate maintenance to meet Medicare, Medicaid, and commercial payer requirements. This role ensures adherence to federal, state, and payer-specific requirements, supporting the initial enrollment process and ongoing participation of providers and Radiology Group practices in government and commercial health plans. The Sr. Specialist will serve as a subject matter expert in Radiology enrollment, working closely with physicians, practice administrators, billing teams, and regulatory entities to ensure accurate, timely submissions and approvals. This position will sit in our office in either Charleston, SC or Westlake Village, CA. 

How you will make an impact:

In this role, you’ll:

• Prepare, submit, and track Medicare, Medicaid, and commercial payer enrollment applications for Radiologists and Radiology Group practices.
• Maintain current knowledge of enrollment requirements across multiple payers, with a strong emphasis on CMS (Centers for Medicare & Medicaid Services) and DHCS (California Department of Health Care Services) guidelines.
• Manage the full lifecycle of provider enrollment updates including revalidations, re-enrollments, portal re-attestations, and changes of information (COI) for Radiologists and Radiology Group practices.
• Audit enrollment records for accurate submissions, timely application processing, payer follow-up, and regulatory requirements to ensure all applications and supporting documents meet payer-specific guidelines.
• Develop and maintain provider enrollment policies, checklists, and best practices specific to Radiology.
• Serve as the primary point of contact for Radiologists, practice managers, and payer representatives.
• Provide status updates on applications and resolve escalated enrollment issues.
• Collaborate with credentialing, revenue cycle, and compliance teams to align processes.
• Update and maintain provider enrollment databases with accurate and current provider information, ensuring thorough documentation of all communications and enrollment activities. 
• Generate reports on enrollment status, expirations, and pending applications.
• Track enrollment timelines to minimize delays in reimbursement.
• Assist with audits and special projects.

What you will bring to the team:   

We’re looking for someone with a growth mindset and a passion for learning. You might be a great fit if you:

• Detail-oriented with a high level of accuracy.
• Ability to interpret complex enrollment policies and payer guidelines and apply them to daily workflows.
• Problem-solving and escalation management skills.
• Strong customer service mindset when interacting with providers and stakeholders.
• Capacity to work independently and as part of a collaborative team.
• Ability to safeguard sensitive provider and organizational information in compliance with HIPAA regulations, ensuring confidentiality, security, and ethical management of sensitive information. 

Skills and experience you have: 

You don’t need to check every box. We will consider a combination of education and experience, including:

• Bachelor’s degree in healthcare administration, business, or related field preferred.
• Minimum 5 years of provider enrollment experience, with at least 3 years in Medicare and Medi-Cal enrollment.
• Radiology and Teleradiology-specific enrollment experience highly preferred.
• Strong understanding of enrollment systems such as CMS PECOS, NPPES, CAQH, Medi-Cal, Availity, etc.
• Deep familiarity with Medicare Part B and Medi-Cal fee-for-service and managed care enrollment rules.
• Exceptional organizational skills with the ability to manage multiple providers and deadlines.
• Strong written and verbal communication skills to clearly and professionally communicate with internal teams, providers and payer representatives.
• Proficiency with Microsoft Office Suite and enrollment tracking systems.

Why XiFin?

We’re more than just a healthcare technology company—we’re a team that cares about people.
 Here’s a glimpse at what we offer:

• Comprehensive health benefits including medical, dental, vision, and telehealth
• 401(k) with company match and personalized financial coaching to support your financial future  
• Health Savings Account (HSA) with company contributions
• Wellness incentives that reward your preventative healthcare activities
• Tuition assistance to support your education and growth
• Flexible time off and company-paid holidays
• Social and fun events to build community at our locations!  

Pay Transparency

At XiFin, we believe in pay transparency and fairness. The expected hourly range for this role is $22.00 to $29.00, based on your experience, skills, and geographic location.

Depending on your qualifications, you may be considered for either a Provider Enrollment Specialist or Sr. Specialist title. Final compensation will be determined during the selection process and may vary accordingly.

Accessibility & Accommodations

We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2901.

Equal Opportunity Employer

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.

Ready to apply?
We’d love to hear from you—even if you’re not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.