Payer Enrollment Specialist
Tasks
- Assist with EDI enrollment training
- Collaborate with billing AR payment posting and credentialing teams
- Coordinate EDI connectivity with clearinghouses and payers
- Ensure HIPAA compliant handling of provider and banking data
- Ensure records are audit-ready
- Escalate aging enrollments and connectivity issues
- Follow up with payers and clearinghouses
- Identify process improvement opportunities
- Maintain enrollment documentation
- Monitor enrollment status
- Prepare EDI enrollment requests
- Record payer communications and corrective actions
- Resolve rejected delayed or incomplete enrollments
- Submit EDI enrollment applications
- Support provider onboarding and client implementations
- Track payer responses and effective dates
- Validate provider demographic information
Perks/Benefits
- N/A
Skills/Tech-stack
Claim Status | Claim Status Transactions 276 | Claim Status Transactions 277 | Claims 837 | Clearinghouse | Cycle management | Data interchange | EDI | Electronic Claims | Electronic Claims 837 | Electronic Connectivity | Electronic Data | Electronic Data Interchange | Electronic Funds Transfer | Electronic Funds Transfer EFT | Electronic Remittance | Electronic Remittance Advice | Electronic Remittance Advice 835 | Eligibility Transactions | Eligibility Transactions 270 | Eligibility Transactions 271 | HIPAA | Healthcare Revenue | Healthcare Revenue Cycle Management | Healthcare revenue cycle | Microsoft Excel | Microsoft Outlook | Microsoft Word | NPI | Payer portal | Revenue Cycle Management | TIN
Education
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