Payer Enrollment Specialist for CMS & Medicare

Ventra Health; EE. UU.; Presencial; USD 55.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Discretionary bonus

Descripción de la vacante

Ventra Health is seeking a Provider Enrollment Specialist to work with the Provider Enrollment Manager to identify payer enrollment issues or denials, research and resolve payer enrollment matters, and coordinate with clients, operations, and CMS via phone, email, or the web.

Responsibilities include following up with CMS and other payers, submitting CMS Medicare and State Medicaid applications, maintaining enrollment records, tracking revalidation dates, and ensuring provider numbers are linked

Formación

• Experience researching and resolving payer enrollment issues with CMS and payers.
• Experience documenting and reporting enrollment activity and revalidations.

Responsabilidades

• Research and resolve payer enrollment issues for multiple locations.
• Communicate with CMS and payers via phone, email, or web to resolve enrollment issues.
• Prepare and submit CMS Medicare, State Medicaid, and third-party payer applications.
• Track provider numbers and ensure linkage to client groups and systems.
• Maintain enrollment records and provide enrollment status reports.
• Maintain provider demographics in enrollment systems.
• Track payer revalidation dates and ensure timely submissions.
• Work with Clients, Operations, and Revenue Cycle Management teams.

Conocimientos

CMS knowledge

HIPAA/privacy

communication

MS Office

detail orientation

analytical skills

decision making

problem solving

organization

time management

teamwork

confidentiality

initiative

adaptability

Educación

Associate degree

Bachelor's degree preferred

Herramientas

CMS portals

payer enrollment systems

Descripción del empleo

Ventra Health is seeking a Provider Enrollment Specialist to work with the Provider Enrollment Manager to identify payer enrollment issues or denials, research and resolve payer enrollment matters, and coordinate with clients, operations, and CMS via phone, email, or the web.

Responsibilities include following up with CMS and other payers, submitting CMS Medicare and State Medicaid applications, maintaining enrollment records, tracking revalidation dates, and ensuring provider numbers are linked