Payer Enrollment Manager Jobs in Indiana (NOW HIRING)

Monitor payer enrollment performance and aging metrics. Provider Data Management and Integrity ... Maintain provider demographic, credentialing, and enrollment data across enterprise systems.

Manage payer enrollment timelines to support provider start dates and organizational growth initiatives. * Resolve enrollment-related issues, including application deficiencies, rejected enrollments ...

Ensure accurate and timely completion of initial credentialing, recredentialing, and payer enrollment processes across all contracted health plans. * Manage ongoing provider maintenance activities ...

LICENSING & CREDENTIALING MANAGER Confidential (Venture-Backed Telehealth Company) · Operations · ... Own payer enrollment so providers go live with Medicare, Medicaid, and commercial payers before go ...

Manage provider credentialing and enrollment processes with Medicare, Medicaid, and commercial payers. * Initiate payer contracts for new physician practices and monitor revalidations and renewals.

... enrollment packets and supporting documentation for payer submission. * Collaborate with Human Resources, Clinical Operations, and hiring managers to monitor onboarding progress and ensure providers ...

... enrollment readiness, and go‑live sequencing * Anticipate and mitigate payer risks associated ... Proven experience managing complex provider structure transitions including NPI and TIN changes

Manage radiologist credentialing according to department policy and procedures. * Will complete and ... licensing, payer enrollment and other assigned duties. * Will initiate and maintain payor ...

Manage radiologist credentialing according to department policy and procedures. * Will complete and ... licensing, payer enrollment and other assigned duties. * Will initiate and maintain payor ...

Manage radiologist credentialing according to department policy and procedures. * Will complete and ... licensing, payer enrollment and other assigned duties. * Will initiate and maintain payor ...

Manage radiologist credentialing according to department policy and procedures. * Will complete and ... licensing, payer enrollment and other assigned duties. * Will initiate and maintain payor ...

Manage radiologist credentialing according to department policy and procedures. * Will complete and ... licensing, payer enrollment and other assigned duties. * Will initiate and maintain payor ...

... enrollment, billing, and membership - Familiarity with technology solutions enabling these ... Payer Services - Knowledge of COTS platforms including TriZetto Facets/QNXT - Experience with ...

... enrollment through therapy initiation and continuation. * Conduct patient needs assessments ... Engage with payer organizations, as appropriate, to clarify coverage policies and support ...

Partner with Credentialing Enrollment Specialists to communicate provider maintenance changes ... Proficient in Microsoft Office Suite, CAQH, payer portals, and credentialing/provider management ...

... enrollment and eligibility processes. They communicate policy changes, escalate issues to ... proper payer reimbursements. The role coordinates with operations, utilization management, and ...

... management, collections, and provider enrollment activities. This position serves as a key resource ... Ensure compliance with HIPAA, CMS regulations, payer guidelines, FQHC requirements, behavioral ...

Leverages electronic tools to identify benefits and payer coverage; completes manual benefit ... Proactively communicates needs for reverification of prior authorization or re-enrollment for ...

Leverages electronic tools to identify benefits and payer coverage; completes manual benefit ... Proactively communicates needs for reverification of prior authorization or re-enrollment.

... payers. This position works closely with providers, clinical staff, pharmacists, and insurance ... Communicate with insurance companies and pharmacy benefit managers to determine coverage ...