Medical Enrollment Specialist

3 days ago


Ahmedabad, Gujarat, India Aqkode Healthcare Services & Solutions Full time
Job Description

Aqkode Healthcare Services & Solutions is seeking a highly skilled Medical Enrollment Specialist to join our team. As a key member of our staff, you will be responsible for ensuring seamless provider enrollments and data management.

Responsibilities:
  • Conduct thorough research on payer networks, verifying provider credentials and providing accurate timelines and open panel availability.
  • Coordinate with providers to gather necessary documents for enrollment applications and ensure timely submission.
  • Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
  • Set up and manage CAQH/PECOS, as well as maintain all provider-payer data to optimize reimbursement performance.
  • Develop and implement quality assurance processes to ensure flawless enrollment submissions and appeals for closed panels.
  • Cultivate relationships with clients, ensuring their needs are met through regular follow-ups on enrollment application status.
Requirements:
  • Minimum 6 months to 1 year of experience in a related field.
  • Excellent communication and organizational skills.
  • Working knowledge of Microsoft Office.
  • Prioritization and multi-tasking abilities.
Benefits:

Aqkode Healthcare Services & Solutions offers a competitive salary range of $60,000 - $80,000 per year, depending on experience.



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