Mission of the RoleTo function as the senior-most expert in payer enrollment, providing deep domain leadership, resolving complex escalations, driving process improvements, and enabling the overall team through knowledge development, training, and cross-functional collaboration.Core Responsibilities1. Domain Leadership & Expertise● Serve as the primary subject matter expert for all payer enrollment processes—Medicare (PECOS), Medicaid (state-specific), and
Mission of the RoleTo function as the senior-most expert in payer enrollment, providing deep domain leadership, resolving complex escalations, driving process improvements, and enabling the overall team through knowledge development, training, and cross-functional collaboration.Core Responsibilities1. Domain Leadership & Expertise● Serve as the primary subject matter expert for all payer enrollment processes—Medicare (PECOS), Medicaid (state-specific), and
Required QualificationsMinimum 2+ years of hands-on experience in Payer Enrollment—Commercial or Medicaid, depending on the requirement. Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollment processes, and revalidation cycles. Proven ability to handle multiple providers and payers simultaneously with high accuracy. Strong analytical skills to diagnose enrollment issues and execute root-cause corrections. Clear and professional commun
Required QualificationsMinimum 2+ years of hands-on experience in Payer Enrollment—Commercial or Medicaid, depending on the requirement. Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollment processes, and revalidation cycles. Proven ability to handle multiple providers and payers simultaneously with high accuracy. Strong analytical skills to diagnose enrollment issues and execute root-cause corrections. Clear and professional commun
1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific poli
1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific poli
● Minimum 2+ years of hands-on experience in Payer Enrollment—Commercial orMedicaid, depending on the requirement.● Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollmentprocesses, and revalidation cycles.Key Responsibilities1. End-to-End Enrollment Management2. Compliance & Regulatory Adherence3. Issue Resolution & Escalations4. Process Improvement5. Mentorship & Team Support6. Documentation & Reporting experience5
● Minimum 2+ years of hands-on experience in Payer Enrollment—Commercial orMedicaid, depending on the requirement.● Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollmentprocesses, and revalidation cycles.Key Responsibilities1. End-to-End Enrollment Management2. Compliance & Regulatory Adherence3. Issue Resolution & Escalations4. Process Improvement5. Mentorship & Team Support6. Documentation & Reporting experience5