Alexander Smith
Indiana
Summary
Results-driven healthcare management professional with over 5 years of progressive experience in payer and provider enrollment operations, complemented by strong team leadership capabilities. Proven expertise in managing full-cycle payer enrollment processes while ensuring regulatory compliance across Medicare, Medicaid, and commercial payers. Skilled in optimizing workflows to enhance efficiency and accuracy, leading teams, and training offshore resources. Demonstrated ability to oversee strategic client accounts and resolve complex enrollment issues through effective cross-functional collaboration.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Senior Team Lead – Payer Enrollment
Medallion
07.2025 - Current
- Direct operations for Medallion’s most strategic and high-priority client accounts, ensuring seamless payer enrollment delivery, high service standards, and proactive resolution of complex issues.
- Train, mentor, and onboard offshore team members, accelerating knowledge transfer and elevating team performance and operational efficiency.
- Support fellow Team Leads by troubleshooting blockers, providing expert guidance, and ensuring timely resolutions to maintain project momentum.
- Lead enrollment specialists while implementing process improvements that enhance accuracy, reduce turnaround times, and strengthen compliance.
- Serve as key liaison between operations and leadership, delivering performance insights and ensuring alignment with organizational goals.
Team Lead
Medallion
09.2024 - 07.2025
- Directed team of enrollment specialists managing credentialing workflows and performance.
- Implement process enhancements to boost accuracy and reduce turnaround times.
- Serve as liaison between leadership and operations, ensuring goals and compliance standards are met.
- Provide coaching, training, and performance feedback to support team development.
Senior Account Specialist – Payer Enrollment
Medallion
08.2023 - 09.2024
- Managed full-cycle payer enrollment and re-enrollment processes for providers across Medicare, Medicaid, and commercial payers.
- Ensured rigorous compliance through up-to-date provider files, primary source verification, and proactive document management.
- Collaborated with providers, practice managers, and insurers to efficiently resolve complex enrollment challenges.
- Developed and maintained tracking databases and spreadsheets, providing real-time transparency and actionable insights for leadership.
- Delivered training and resources to new hires, supporting rapid onboarding and consistent process adherence.
Account Specialist – Payer Enrollment
Medallion
03.2023 - 08.2023
- Executed payer enrollment for providers across multiple insurance types, securing timely approvals and payer assignments.
- Gathered and validated credentialing documentation from providers, licensing boards, and carriers.
- Supported new provider onboarding by coordinating enrollment activities and communicating status updates to practice operations.
Payer Enrollment Coordinator
Medallion
11.2022 - 03.2023
- Coordinated payer enrollment submissions while ensuring full adherence to payer-specific guidelines and requirements.
- Proactively tracked expiring credentials and secured updated documentation to prevent compliance gaps.
- Partnered with contracting teams to manage enrollment changes and address evolving payer requirements.
Education
Bachelor of Science - Healthcare Management
Fairmont State University
Fairmont, WV01-2022
Skills
- Payer Enrollment & Provider Credentialing
- Primary Source Verification
- Healthcare Compliance (Medicare, Medicaid, Commercial Payers)
- HIPAA Team Leadership & Offshore Training
- Process Improvement & Workflow Optimization
- Strategic Client Management
- Issue Resolution & Escalation Data Management & Reporting (Excel, Databases, EMR/EHR)
- Cross-Functional Collaboration & Relationship Management
- Experience managing offshore teams
Certification
- Certified Medical Assistant (CMA) – 2018
- CPR & First Aid Certified
Timeline
Senior Team Lead – Payer Enrollment
Medallion
07.2025 - Current
Team Lead
Medallion
09.2024 - 07.2025
Senior Account Specialist – Payer Enrollment
Medallion
08.2023 - 09.2024
Account Specialist – Payer Enrollment
Medallion
03.2023 - 08.2023
Payer Enrollment Coordinator
Medallion
11.2022 - 03.2023
Bachelor of Science - Healthcare Management
Fairmont State University