Payer Enrollment Coordinator

hace 4 semanas


San Francisco, Heredia, Costa Rica Experian A tiempo completo
Job Description

As a Payer Enrollment Coordinator, you will play a key role in streamlining the payer enrollment process, ensuring seamless integration of healthcare providers into payer networks through effective EDI enrollment procedures.

Responsibilities:
  • Coordinate and oversee the payer enrollment process, guaranteeing timely and accurate submissions.
  • Collaborate with payer organizations to obtain and understand enrollment requirements.
  • Verify the accuracy and completeness of enrollment materials before submission to payers.
  • Communicate effectively with clients, payers, vendors, and internal staff to provide current enrollment status and address outstanding questions.
  • Identify, troubleshoot, and resolve any enrollment issues.
  • Provide training and support to clients on EDI enrollment procedures.
  • Stay updated on payer enrollment changes and share knowledge with the team.
Qualifications:
  • Excellent communication and interpersonal skills, as well as strong organizational and time management abilities.
  • Able to manage a high volume of cases simultaneously and meet deadlines.
  • Strong strategic thinking, tactical planning, analytical, and problem-solving abilities.
  • Advanced Microsoft Office proficiency.
  • EDI Payer Enrollment process experience required.
  • Strong familiarity with X12 EDI standards.
  • Associates Degree in Healthcare, Business, or related field experience.
  • An understanding of Healthcare Revenue Cycle Management.
Estimated Salary: $65,000 - $85,000 per year

At Experian, we value our employees and offer a comprehensive benefits package, including medical, life, and dental insurance, flexible work arrangements, paid time off, and annual performance bonuses. Our culture is built on diversity, inclusion, and collaboration, and we strive to create a better tomorrow together.



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