Provider Enrollment
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Job Location:
Monthly Salary:
Posted on:
4 hours ago
Vacancies:
1 Vacancy
Job Summary
Conduct timely follow-ups with payers via phone and email to obtain status updates on submitted enrollment applications.
Manage follow-up workflows for new enrollments revalidations demographic updates terminations and group affiliations.
Understand payer-specific processes documentation needs and follow-up cycles.
Use professional phone etiquette while engaging with payer representatives provider relations teams and enrollment departments.
Draft clear concise and accurate emails for information requests escalations and status tracking.
Maintain a high standard of communication while representing the organization and providers.
Identify missing documents payer clarifications or discrepancies delaying enrollment.
Flag high-priority cases and coordinate with internal teams (Enrollment Analysts Credentialing Specialists) to resolve blockers.
Document outcomes of all calls/emails and update systems in real time.
Update CRM/workflow tools payer portals and internal trackers with accurate follow-up details.
Ensure all communication and actions meet audit compliance and HIPAA standards.
Track pending applications and follow set timelines to avoid backlogs.
Manage daily call queues turnaround expectations and follow-up SLAs.
Prioritize urgent and high-value applications based on team guidance and SLO/TAT needs.
Participate in team huddles refresher trainings and process updates.
