Medicaid Payer Enrollment Specialist
MB2 Dental · Carrollton, TX · 3 mo ago
On-siteOTHRFull-time
Key Responsibilities
- Prepare and submit enrollment and re-enrollment applications to commercial and government payers.
- Monitor payer portals and correspondence to track application status and follow up with payers on pending requests.
- Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate escalation and/or follow-up.
- Maintain accurate provider records in the credentialing platform to serve as the single source of truth, ensuring data integrity, regulatory compliance, and timely claims processing.
- Collaborate with the Credentialing Team and Liaison Team to gather necessary provider documentation for enrollment.
- Communicate clearly with stakeholders regarding application status, required next steps, and potential impacts on claims processing.
- Ensure compliance with all payer regulations, contract terms, and organizational policies.
- Collaborate with the revenue cycle and claims teams to troubleshoot payment issues related to enrollment.
Required Qualifications
- Minimum 2 – 5 years payer enrollment experience.
- Strong capability to collaborate and communicate.
- Strong attention to detail, organizational skills, and ability to manage multiple priorities in a fast-paced environment.
- Proficient with credentialing software, payer portals, and Microsoft Office Suite.
Desired Qualifications
- Certifications: CPES is a plus.
- Experience in dental payer enrollment is strongly preferred.
Pay
We are excited to offer our team members a competitive compensation package that includes medical/dental/vision/life insurance, long and short-term disability, generous PTO, paid holidays, traditional and Roth 401(k) options, and much more!
Schedule
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Benefits
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Skills
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Benefits
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Pay
We are excited to offer our team members a competitive compensation package that includes medical/dental/vision/life insurance, long and short-term disability, generous PTO, paid holidays, traditional and Roth 401(k) options, and much more!
Schedule
N/A
Benefits
N/A
Skills
N/A
Benefits
N/A