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Payer Enrollment Specialist

2 months ago


Norwood, Massachusetts, United States ICONMA Full time
Job Summary

We are seeking a highly skilled Payer Enrollment Specialist to join our team at ICONMA. As a key member of our organization, you will be responsible for ensuring the timely and accurate enrollment of healthcare providers with payers.

Key Responsibilities
  • Credentialing and Enrollment: Verify and validate provider credentials, including licenses, certifications, and other required documentation.
  • Application Management: Review and complete provider applications with accuracy and thoroughness, ensuring all necessary information is included.
  • Communication and Follow-up: Establish and maintain relationships with providers, payers, and internal stakeholders to ensure seamless enrollment processes.
  • Database Management: Maintain accurate and up-to-date records in the CAQH database, ensuring compliance with regulatory requirements.
  • Additional Duties: Perform other related tasks as assigned by management to support the success of our organization.
Requirements

To be successful in this role, you will need:

  • Strong Communication Skills: Excellent verbal and written communication skills to effectively interact with providers, payers, and internal stakeholders.
  • Attention to Detail: High level of accuracy and attention to detail to ensure compliance with regulatory requirements.
  • Organizational Skills: Ability to prioritize tasks, manage multiple projects, and meet deadlines in a fast-paced environment.
  • Technical Skills: Proficiency in using software applications, including the CAQH database, to manage provider enrollment and credentialing processes.