Job Description

The Payer Enrollment Specialist role is responsible for remotely obtaining and maintaining payer participation with government and commercial health plans and assisting in enrollment issues as they relate to payer enrollment and claims payment. The Payer Enrollment Specialist will work closely with HR, the clinicians, Clinic Directors and staff to collect all items needed to obtain and maintain all payer participation.


Essential Functions:

  • Manage the completion, submission and re-credentialing of provider enrollment applications
  • Track current status of applications, follow up as necessary and document activity in an accurate and timely manner
  • Prepare the CAQH for newly affiliated and existing providers to include re-attestation 
  • Research and resolve provider related enrollment issues and coordinate with team members of various departments when applicable
  • Maintains confidentiality of provider information
  • Maintain...

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