Payor Enrollment Specialist- Contract
Tasks
- Build and refine credentialing and enrollment SOPs
- Drive follow ups for timely approvals
- Ensure compliance with NCQA CAQH state and federal requirements
- Investigate and resolve enrollment related billing issues
- Maintain accurate provider data across systems
- Own payor enrollment lifecycle for providers
- Provide status updates to internal stakeholders
- Review and attest CAQH profiles
- Submit and track payor enrollment applications
Perks/Benefits
Skills/Tech-stack
Application tracking | CAQH | Credentialing | Data Management | NCQA | Payor Enrollment | Provider enrollment | SOP Development
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