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Payer Enrollment Associate
Posted 6 days agoViewed
💎 Seniority level: Junior, 2+ years
💸 Salary: 66656.0 - 82787.0 USD per year
🔍 Industry: Healthcare
🏢 Company: Spring Health👥 1001-5000💰 $100,000,000 Series E 8 months agoMental HealthArtificial Intelligence (AI)mHealthWellnessHealth Care
⏳ Experience: 2+ years
Requirements:
- 2+ years of experience in credentialing, enrollment, or healthcare administration.
- Strong knowledge of CAQH enrollment processes and payer credentialing requirements.
- Experience with provider roster management and data integrity.
- Detail-oriented with strong organizational and data management skills.
- Ability to track and follow up on payer applications efficiently.
- Strong collaboration skills, with experience working across credentialing, billing, and compliance teams.
Responsibilities:
- Manage CAQH enrollments and attestations, ensuring providers are accurately registered and compliant with payer requirements.
- Oversee roster management, ensuring provider data is accurate and up to date in credentialing systems.
- Support billing and enrollment operations, collaborating with the Revenue Cycle Management team to resolve issues.
- Assist with payer application submissions, tracking statuses, and following up as needed.
- Work closely with the Credentialing Manager, Payer Management to ensure seamless execution of credentialing workflows.
- Maintain compliance with NCQA and payer credentialing standards, identifying and resolving discrepancies.
- Provide administrative support for credentialing audits and reporting, ensuring accuracy and completeness of provider data.
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