Payor Enrollment Specialist
This position reports to the Director of Payor Enrollment, Licensing & Credentialing and is responsible for assisting with all aspects of the Payor Enrollment process. The Payor Enrollment Specialist will ensure efficient operations of billing, collections, and claims processes to maximize revenue and enhance patient satisfaction. Responsibilities: Credential/re-credential LifeMD providers with insurance payors (Commercial and/or Medicare/Medicaid payors) Assist with maintaining the credentialing matrices for all LifeMD providers and markets/states Provide follow-up correspondence with insurance payors on a regular basis for all credentialing matters Work with other LifeMD departments to facilitate the onboarding/offboarding of LifeMD providers Assist LifeMD providers with any ancillary credentialing and payor enrollment questions Create, maintain and update insurance payors and credentialing rosters for LifeMD Check insurance payor websites for accurate directory listings and performs regular updates Meet LifeMD expectations for payor application submission on a consistent basis Respond to routine external correspondence. Type memos, and other department forms and documents Handle confidential and non-routine information and maintain provider confidence and protect operations by keeping all provider and LifeMD practice information confidential Work independently, as well as on a team, on special and nonrecurring and ongoing projects at the request of the Director of Payor Enrollment, Licensing & Credentialing, which may include updating Excel spreadsheets or other systems, and disseminating information Maintain reliability, as it is an essential function of the position to report to work on time for scheduled hours, ready for work Perform other related duties as required
This position reports to the Director of Payor Enrollment, Licensing & Credentialing and is responsible for assisting with all aspects of the Payor Enrollment process. The Payor Enrollment Specialist will ensure efficient operations of billing, collections, and claims processes to maximize revenue and enhance patient satisfaction. Responsibilities: Credential/re-credential LifeMD providers with insurance payors (Commercial and/or Medicare/Medicaid payors) Assist with maintaining the credentialing matrices for all LifeMD providers and markets/states Provide follow-up correspondence with insurance payors on a regular basis for all credentialing matters Work with other LifeMD departments to facilitate the onboarding/offboarding of LifeMD providers Assist LifeMD providers with any ancillary credentialing and payor enrollment questions Create, maintain and update insurance payors and credentialing rosters for LifeMD Check insurance payor websites for accurate directory listings and performs regular updates Meet LifeMD expectations for payor application submission on a consistent basis Respond to routine external correspondence. Type memos, and other department forms and documents Handle confidential and non-routine information and maintain provider confidence and protect operations by keeping all provider and LifeMD practice information confidential Work independently, as well as on a team, on special and nonrecurring and ongoing projects at the request of the Director of Payor Enrollment, Licensing & Credentialing, which may include updating Excel spreadsheets or other systems, and disseminating information Maintain reliability, as it is an essential function of the position to report to work on time for scheduled hours, ready for work Perform other related duties as required