Employer Industry: Healthcare Revenue Cycle Management

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Engage in a meaningful role that supports timely onboarding of healthcare providers
- Collaborative work environment with opportunities to communicate across various levels of the organization
- Utilize critical thinking skills in a dynamic and impactful position
- Competitive salary and benefits package commensurate with experience

What to Expect (Job Responsibilities):
- Initiate and support the payer enrollment process by managing applications for new providers and changes
- Complete payer revalidations for providers and entities on a payer-specific schedule
- Maintain and manage payer portal access for providers and entities
- Collaborate with the Revenue Cycle department to address claim denials and inquiries related to enrollment
- Communicate with payer representatives to resolve concerns and discrepancies

What is Required (Qualifications):
- Bachelor’s degree in business, healthcare, or a related field
- 3-5 years of progressive experience in payer enrollment strongly preferred; 10+ years of credentialing/enrollment and/or revenue cycle management experience may substitute for a degree
- Working knowledge of credentialing and enrollment software, ideally Verity Credential Stream
- Knowledge of regulatory and compliance standards related to payer enrollment
- Proficient in Microsoft Office suite with strong communication skills across various organizational levels

How to Stand Out (Preferred Qualifications):
- Experience in healthcare-related payer enrollment processes
- Familiarity with commercial and government insurance enrollment
- Demonstrated ability to manage multiple tasks and projects simultaneously

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