Payor Enrollment Specialist

Job Summary

A company is looking for a Payor Enrollment Specialist with Medicare or Medicaid experience preferred.

Key Responsibilities

• Coordinates and assists in the enrollment, maintenance, revalidation, and submission of data/documents for healthcare providers
• Assures enrollment with outside affiliates by coordinating data and document collection
• Manages the maintenance of provider records, payor applications, and follows up with payors

Required Qualifications

• 4 years of relevant work experience
• High School Diploma or GED
• Knowledge of healthcare regulations and compliance
• Experience with revenue cycle software and practices
• Understanding of insurance policies and claims regulations