Payer Enrollment Coord II

Payer Enrollment Coord II responsible for minimizing reimbursement barriers by assisting with determining coverage and access options, supporting payer policy questions, and resolving coverage/reimbursement issues to enable patient access. Requires knowledge of private payer, Medicare, and Medicaid structures and processes; handles inquiries from patients, nursing, and providers; completes government and commercial payer enrollment applications, revalidations, and APP enrollments; processes CAQH profiles; coordinates electronic and paper submissions; tracks enrollment status and maintains provider information; collaborates with hospital departments to ensure timely and accurate credentialing and enrollment throughout payer networks.