Overview:
Manages the enrollment of healthcare providers and organizations with insurance payers, ensuring eligibility to submit claims and receive reimbursement.
Core Responsibilities:
- Complete payer enrollment applications for commercial, Medicare, and Medicaid plans.
- Track enrollment status and follow up with payers to expedite approvals.
- Maintain accurate records of provider participation across payer networks.
- Collaborate with credentialing teams to synchronize enrollment and credentialing activities.
- Resolve enrollment discrepancies or denials promptly.
- Stay updated on payer-specific enrollment policies and procedures.