The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools.
This position is also eligible for a discretionary incentive bonus in accordance with company policies.
- Performs follow-up with market locations to research and resolve payer enrollment issues
- Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues
- Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications
- Performs tracking and follow-up to ensure provider numbers are established and linked to the appropriate client group entity and proper software systems
- Maintains documentation and reporting regarding payer enrollments in process
- Associate's degree (2 years)
- Bachelor's degree in any related field
- Nice to have: provider enrollment experience
Software Engineering Senior Associate (Python AND AI)NewDTCC · Hyderabad, India
Provider Enrollment SpecialistNewVentra Health, Inc. · US
Personal Lines Senior Territory ManagerLiberty Mutual Insurance · Baltimore, US
Personal Lines Senior Territory ManagerLiberty Mutual Insurance · Baltimore, US