Senior Payer Enrollment Specialist
Tasks
- Audit enrollment activities and documentation
- Conduct provider data attestations
- Coordinate malpractice insurance certificates and COI renewals
- Coordinate new service location additions
- Identify and implement process improvements
- Maintain enrollment workflows policies and procedures
- Maintain provider practice and group information
- Manage initial payer enrollment
- Manage recredentialing payer enrollment
- Research and resolve payer enrollment issues
- Submit monthly payer rosters
- Support train and mentor payer enrollment team
- Use payer portals for enrollment and provider data
Perks/Benefits
- 401k match
- Dental insurance
- Disability insurance
- Employee recognition programs
- Employee wellness programs
- Fertility Discount Program
- Life insurance
- Medical insurance
- Paid Holidays
- Paid parental leave
- Paid time off
- Performance bonus
- Professional development
- Tuition assistance
- Vision insurance
Skills/Tech-stack
Availity | CAQH Proview | Compliance | Data Attestation | Data Research and Resolution | Data research | Documentation | Enrollment Workflow | Enrollment workflow management | Kaiser | LexisNexis | Microsoft Office | NPPES) | OIG | Provider Data Attestation | Provider data | UHC | Workflow Management
Education
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