Responsibilities
- Lead the assembly and delivery of complete provider rosters to Medicare, Medicaid, and private insurance carriers.
- Conduct data audits to verify provider details—including NPI, license status, specialty, and practice locations—against internal systems for full accuracy prior to submission.
- Handle all uploads to payer portals and manage secure email transmissions, keeping a thorough record of submission dates and confirmation IDs.
- Act as the main liaison with health plans to address and resolve issues related to roster mismatches, rejections, or delays in provider paneling.
- Ensure roster formatting complies with each payer’s specific guidelines and regulatory standards.
- Use internal systems to generate weekly progress reports and assess provider enrollment timelines to identify opportunities for efficiency gains.
- Collaborate with Revenue Cycle Management to detect, diagnose, and correct provider load errors that lead to claim denials or billing interruptions.
- Perform additional tasks as directed by management.
Benefits
- Comprehensive medical, dental, vision, and life insurance coverage
- Pet insurance option
- 401K retirement plan
- Paid time off
- Wellness initiatives and programs
- Targeted annual bonus of 15%
Work Arrangement
On-site
Other
- All applicant information will be held confidential in compliance with Equal Employment Opportunity regulations.
- Technical Requirements (for remote workers only, not applicable for onsite/in office work): A minimum download speed of 5 MBPS and upload speed of 3 MBPS is required for remote roles. Prospective remote employees should verify their connection speed using tools like https://www.speedtest.net/ prior to starting. Assistance may be available to offset internet costs for those regularly working from home.
