Payer Enrollment Specialist
1 week ago
Job Title: Payer Enrollment Coordinator
We are seeking a detail-oriented and analytical professional to play a key role in our growth and success by ensuring seamless payer enrollment processes.
About the Role- This position is responsible for researching, resolving, and enrolling any payer issues, utilizing various proprietary and external tools.
- The ideal candidate will have strong analytical, problem-solving, and communication skills, with the ability to work independently and require little supervision.
- Perform follow-up with market locations to research and resolve payer enrollment issues.
- Collaborate with regulatory agencies and other payers via phone, email or website to resolve any Payer Enrollment issues.
- Manage the completion and submission of applications for Centers for Medicare & Medicaid Services (CMS), State Medicaid, and other third-party payers.
- Track and follow up to ensure provider numbers are established and linked to the appropriate client group entity and software systems.
- Associate's degree required; Bachelor's degree preferred.
- At least one year of experience in provider enrollment or a related field.
- Working knowledge of specific application requirements for CMS, State Medicaid, and all third-party payers.
- Strong oral, written, and interpersonal communication skills.
- Ability to maintain strict confidentiality with regards to protected provider and health information.
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