Payor Enrollment Specialist/Insurance Specialist
Inland Imaging Business Center, United States
R
USD 48K-72K (estimate) Entry-level Full Time
Tasks
- Attend policy update meetings
- Call for collection questions support when needed
- Communicate with payers and internal departments
- Complete paper and electronic applications
- Complete payer revalidations and updates
- Coordinate enrollment corrections with internal teams
- Coordinate provider and location enrollments
- Determine root cause of enrollment denials
- Follow up with insurance companies on unpaid or incorrectly paid services
- Gather payer enrollment documentation
- Maintain enrollment records and matrices
- Manage payer enrollment lifecycle
- Process payer refund workflows
- Research enrollment related insurance denials
- Resolve claim edits before claim submission
- Review unpaid claims and request payment status
- Submit corrected claims and appeals
- Support eligibility status for patients
- Track payer issues to resolution
Perks/Benefits
Skills/Tech-stack
CAQH | CPT | Claims Appeals | Code Correct | Credentialing | DocuSign | Echo One | HIPAA | Health information | ICD10 | Insurance Denials | Insurance claims | MedInformatix | Medicare PECOS | Meditech | Microsoft Office | One Health | One Health Port | Payer enrollment | Protected Health Information | Waystar | Webex | Workday
Education
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