Payer Enrollment Specialist

Job Summary

A company is looking for a Payer Enrollment Specialist.

Key Responsibilities

• Develop relationships with third-party payers, physicians, and advanced practice providers
• Manage comprehensive processes for payer enrollment and revalidations for providers
• Ensure timely completion of payer enrollments and update billing systems promptly

Required Qualifications

• Associate's Degree in a related field or equivalent experience
• 4 years of work experience, including 2 years in payer enrollment or the healthcare industry
• Working knowledge of medical terminology, anatomy, and coding systems (ICD-10, CPT, HCPCS)
• Ability to analyze and apply standards to provider-submitted information
• Thorough knowledge of insurance documentation requirements and patient accounting systems