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Payer Enrollment Specialist
2 months ago
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.
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.