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 Medicaid
payers.
● Track application progress, follow up with payers, and maintain accurate, up-to-date
...
documentation.2. Compliance & Regulatory Adherence
● Ensure compliance with federal, state, and payer-specific policies and guidelines.
● Stay updated on changes in payer rules, Medicaid regulations, CAQH requirements, and
credentialing standards.
● Conduct data quality checks prior to submission to minimize risks of rejections or delays.
experience
5show more
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 Medicaid
payers.
● Track application progress, follow up with payers, and maintain accurate, up-to-date
documentation.2. Compliance & Regulatory Adherence
● Ensure compliance with federal, state, and payer-specific policies and guidelines.
● Stay updated on changes in payer rules, Medicaid regulations, CAQH requirements, and
credentialing standards.
● Conduct data quality checks prior to submission to minimize risks of rejections or delays.
experience
5