Payer Enrollment and Contracting Specialist
Tasks
- Coordinate with payer enrollment vendors
- Investigate claim denials related to contracting errors
- Maintain provider demographic data
- Manage payer contracting and fee schedules
- Navigate payer portals for policy research
- Process payer enrollment and revalidation
- Resolve underpayments
- Serve as liaison for payer enrollment issues
- Troubleshoot payer and provider setup problems
Perks/Benefits
Skills/Tech-stack
CAQH | Claim Denials | Credentialing | Fee Schedules | PECOS | Payer contracting | Payer enrollment | Reimbursement | Revenue Cycle
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