Provider Enrollment & Payer Enrollment Analyst
Tasks
- Collaborate with Revenue Cycle and Credentialing
- Communicate with payers to resolve discrepancies
- Escalate enrollment issues
- Follow up on enrollment documentation
- Identify enrollment gaps and risks
- Maintain enrollment accuracy across systems
- Maintain group and location records
- Manage payer enrollment activities
- Manage provider enrollment activities
- Monitor credentialing vendor enrollment requests
- Monitor payer revalidation cycles
- Provide enrollment status updates
- Support enrollment readiness for billing
- Track payer enrollment submissions
- Update provider NPI and tax records
- Validate fee schedule and reimbursement
Perks/Benefits
- Dental insurance
- Life insurance
- Medical insurance
- Paid Holidays
- Paid time off
- Retirement savings program
- Vision insurance
Skills/Tech-stack
CPT | Credentialing | Enrollment Submissions | Enrollment Tracking | HCPCS | Healthcare Compliance | NPI | Payer portal | Reimbursement | Revalidation | Revenue Cycle | Tax ID
Education
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