Medicaid & MCO Enrollment Specialist - Virginia
Virginia, United States - Remote
R
USD 80K-108K (estimate) Mid-level Contract Full Time
Tasks
- Align early intervention IFSP billing with MCO processes
- Coordinate background check compliance
- Coordinate organizational and provider credentialing
- Define direct billing workflows to MCOs
- Document fidelity assessments requirements
- Interpret MCO requirements and applications
- Lead Medicaid MCO enrollment
- Manage NPI group and individual credentialing
- Provide timelines checkpoints and expectations
- Serve as liaison with MCO representatives
- Support uninsured patient coverage pathways
Perks/Benefits
Skills/Tech-stack
Early intervention | IFSP | Managed care | Medicaid Portal | Medicaid billing | Medicaid managed care | NPI | NPPES) | PECOS | Provider credentialing
Education
N/A
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