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Payer Enrollment Specialist

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.

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