Payer Enrollment Specialist
Tasks
- Communicate with payers and partners
- Coordinate licensing activities
- Ensure compliance with payer requirements
- Maintain credentialing schedules and documentation
- Maintain payer enrollment guides
- Maintain provider records
- Perform primary source verifications
- Prepare payer enrollment and credentialing reports
- Renew licenses
- Submit payer enrollment applications
- Support credentialing activities
- Track expirables licenses and certifications
- Track payer enrollment statuses
- Update CAQH profiles
Perks/Benefits
Skills/Tech-stack
CAQH | Credentialing | Database Management | Document Tracking | FQHC Credentialing | Google Workspace | HRSA Standards | Healthcare Compliance | License Renewal | Medicaid | Medicaid Credentialing | Microsoft Office | Payer enrollment | Primary Source Verification | Source verification
Education
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