Payer & Provider Enrollment Specialist
Tasks
- Attend RCM and payer calls
- Collaborate with credentialing team on new provider onboarding
- Enroll providers with Medicaid and Medicare
- Enroll providers with commercial health plans
- Escalate enrollment issues to manager
- Follow up with health plans until provider is PAR
- Review provider record taxonomy license specialty
- Submit payer enrollment applications
- Update provider enrollment status in credentialing system
Perks/Benefits
- 401k
- Dental insurance
- Expense reimbursement for remote work
- Life insurance
- Medical insurance
- Paid time off
- Vision insurance
- Wellness programs
Skills/Tech-stack
CredentialStream | Data Analysis | HIPAA | Medicaid | Medicare | Payer Portals | Payer enrollment | Problem Solving | Provider credentialing | RCM
Education
N/A
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