Payor Enrollment Specialist
System Offices | 901 E 104 St | Kansas City | MO, United States
USD 48K-58K (estimate) Mid-level Full Time
Tasks
- Assist with non participation issues
- Complete CAQH provider enrollment applications
- Coordinate initial enrollment for managed care and government agencies
- Coordinate provider revalidations with payors
- Create and maintain provider records in payor enrollment software
- Maintain CAQH attestation every 120 days
- Maintain team email for enrollment correspondence
- Navigate Epic to research account details
- Obtain provider confidential information and password related details
- Prepare and update insurance matrices
- Process incoming mail and faxes
- Provide new provider status reports
- Research provider specialties with payors
- Review enrollment forms for completeness and accuracy
- Submit practice and provider changes to payors
- Support and train personnel on payor enrollment software
Perks/Benefits
Skills/Tech-stack
CAQH | Credentialing | Epic | Managed care | Medicaid | Medicare | Payor Enrollment | Provider enrollment
Education
N/A
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