- Collect, verify, and submit information necessary for the enrollment of hospitals/physicians with Out-of-State Medicaid payers.
- Develop and maintain ongoing policy and procedures specific to each state for new hospital/physician enrollments.
- Maintain working knowledge of hospital/physician Out-of-State Medicaid enrollment requirements and regulations.
- Submit re-enrollment applications in a timely manner to ensure hospitals/physicians are up to date with their enrollment status.
- Establish, maintain, and constantly review the accuracy of Out-of-State Medicaid requirements to ensure compliance with government rules and regulations.
- Manage work queue to ensure all timely submissions/deadlines of all payor-specific forms and documents.
- Maintain the provider file and communicate provider changes, corrections, and terminations documented in the database.
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