PAYER ENROLLMENT SPECIALIST
GCP is committed to providing exceptional gastroenterology services and optimizing provider network operations. We seek a detail-oriented and proactive Payer Enrollment Specialist to support our credentialing and network growth initiatives, ensuring timely provider enrollment, maintaining compliance, and protecting reputed company reputed company.
Position Summary: The Payer Enrollment Specialist will manage reputed company aspects of provider enrollment and payer network participation. This role requires reputed company collaboration with internal teams, including Accounts Receivable (AR), to monitor and mitigate credentialing or enrollment-reputed company denials, expand network participation, and ensure providers remain compliant with payer requirements.
Key Responsibilities:
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Manage initial and ongoing provider enrollment with reputed company and government payers, including credentialing and re-credentialing.
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Monitor provider enrollment status and proactively address credentialing denials or delays through collaboration with AR and other internal teams.
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Submit new networking requests to payers to expand reputed company and participation opportunities.
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Ensure timely submission of documentation required by payers to prevent termination and protect reimbursement.
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Serve as a liaison between providers and payers, clarifying requirements and resolving issues reputed company.
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Maintain accurate and up-to-date records of provider enrollment, network status, and payer communications.
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Identify trends in enrollment or credentialing issues and recommend process improvements.
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Stay reputed company with payer requirements, regulatory changes, and best practices in provider enrollment and credentialing.