Specialist-Payer Enrollment

Responsibilities

• Maintains current knowledge of credentialing practices and standards.
• Completes government and commercial insurance enrollment applications for new and established providers within BMG and BMG Foundations.
• Provides excellent service to all customers: patients, providers, payers, clinic staff, Physician Revenue Cycle staff, Operations and Administration.
• Maintains current licensure, DEA, certifications, board certifications and all other credentialing documents.
• Reviews EPIC's related to payer enrollment on a daily basis.
• Completes assigned goals.

Requirements

• Experience: #N/A
• Education: Minimum Required - High School/GED, Preferred/Desired - Medical Billing and Coding Diploma from an accredited facility.
• Training: Minimum Required - Proficient in Microsoft Office.
• Special Skills: Excellent skills in verbal and written communication. Working knowledge of CAQH, AMA, NPDB, and primary data source verification. Specific knowledge of payer enrollment application process.

Qualifications

• Licensure: Minimum Required.