Employer Industry: Healthcare Revenue Cycle Management

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Collaborate with various departments and external agencies to enhance the enrollment process
- Work in a supportive and dynamic team environment
- Engage with practitioners and payers to ensure smooth onboarding and data integrity
- Flexible work arrangements may be available depending on business needs

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 scheduled basis
- Maintain and manage payer portal access for providers
- 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 preferred
- 10+ years of experience in credentialing/enrollment and/or revenue cycle management may substitute for a degree
- Working knowledge of credentialing and enrollment software, ideally Verity Credential Stream
- Proficient in Microsoft Office suite and strong communication skills across various organizational levels

How to Stand Out (Preferred Qualifications):
- Knowledge of regulatory and compliance standards in payer enrollment
- Experience with commercial and government insurance enrollment
- Excellent critical thinking and problem-solving skills
- Experience in a fast-paced healthcare environment

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