Payer Enrollment Coordinator

1 month ago


Fort Myers, Florida, United States TeleSpecialists LLC Full time
Job Overview

TeleSpecialists LLC is seeking a highly skilled Payer Enrollment Specialist to join our team. As a key member of our Payer Enrollment Team, you will be responsible for ensuring that our healthcare providers are properly enrolled with Medicare, state Medicaid, and commercial insurance carriers.

Key Responsibilities:

  • Assist facilities with enrolling TeleSpecialists providers with Medicare, state Medicaid, and commercial insurance carriers.
  • Maintain current CAQH, PECOS, and State Medicaid profiles.
  • Ensure management is informed of any issues with provider profiles.
  • Complete initial, reassignment, and re-validation applications with Medicare and state Medicaid.
  • Manage PECOS portal for providers, including approval of facilities and updating demographic information.
  • Manage NPPES portal for providers.
  • Create, update, and maintain CAQH profiles for providers.
  • Manage Practice Manager CAQH profile for all providers and facilities.
  • Manage password updates for various enrollment portals.
  • Update MD Staff on the progress of all activities.
  • Complete facility payer enrollment paperwork for providers and return to facilities in a timely manner.
  • Manage Availity portal for various insurance networks.

Requirements:

  • A minimum of one year of Payer Enrollment experience.
  • Credentialing software experience required; MD Staff preferred.
  • Experience with Joint Commission or National Committee for Quality Assurance preferred.

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