1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific
1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific
Mission of the RoleTo function as the senior-most expert in payer enrollment, providing deep domain leadership, resolving complex escalations, driving process improvements, and enabling the overall team through knowledge development, training, and cross-functional collaboration.Core Responsibilities1. Domain Leadership & Expertise● Serve as the primary subject matter expert for all payer enrollment processes—Medicare (PECOS), Medicaid (state-specific),
Mission of the RoleTo function as the senior-most expert in payer enrollment, providing deep domain leadership, resolving complex escalations, driving process improvements, and enabling the overall team through knowledge development, training, and cross-functional collaboration.Core Responsibilities1. Domain Leadership & Expertise● Serve as the primary subject matter expert for all payer enrollment processes—Medicare (PECOS), Medicaid (state-specific),
Experience Required: 1–3 years in healthcare voice processes (Provider Enrollment preferred, but AR/RCM/Healthcare Voice also acceptable) Mission of the RoleTo ensure timely and accurate follow-up with payers for provider enrollment applications by using professional phone and email communication, resolving pending issues, and supporting the enrollment lifecycle through high-quality interactions. Key Responsibilities1. Payer Follow-ups & CommunicationMake
Experience Required: 1–3 years in healthcare voice processes (Provider Enrollment preferred, but AR/RCM/Healthcare Voice also acceptable) Mission of the RoleTo ensure timely and accurate follow-up with payers for provider enrollment applications by using professional phone and email communication, resolving pending issues, and supporting the enrollment lifecycle through high-quality interactions. Key Responsibilities1. Payer Follow-ups & CommunicationMake
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