Quality Control Payer Enrollment Specialist

Job Summary

A company is looking for a Specialist, Quality Control Payer Enrollment.

Key Responsibilities

• Review payer enrollment submissions for data accuracy and compliance with guidelines
• Verify inclusion and currency of all required documents in enrollment files
• Flag errors in applications and collaborate with team members for resolution

Required Qualifications

• 2+ years of payer enrollment experience with applications and processes
• 2+ years of quality control experience
• Experience with CAQH, PECOS, Availity, and Medicaid (any state)
• Proficient in Microsoft Excel
• Preferred but not required: PESC, CPCS, CPMSM, CPHQ certifications