Payor Enrollment
Coordinate, perform and track enrollment applications for commercial and states payors. Perform cognitive analysis for all information received and pursue additional information as needed. Assist with the resolution of enrollment issues.
Data Integrity and Quality
Maintain the accuracy and integrity of all provider application data to state and commercial payors. Coordinate perform and track required expirables (i.e. DEA licenses, boards, etc.) according to established laws, policies and procedures. Ensure data quality and integrity when entering data into appropriate systems (i.e. Cactus, Verity).
Confidentiality
Respect patient/medical staff rights for informed consent and the handling of confidential information. Review timeliness, accuracy, and security of information.
Regulatory/Compliance
Maintain current regulatory standards to be in compliance with all medical staff functions.