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Payer Enrollment Specialist at Vanderbilt University Medical Center - ApplyBlast

Payer Enrollment Specialist

Vanderbilt University Medical Center

4 months ago

Nashville, TN

Onsite

Full Time

Junior

0 applicants

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About this role

A Payor/Provider Enrollment Specialist at Vanderbilt University Medical Center manages the enrollment, maintenance, and revalidation of healthcare providers with insurance payors and health plans. This role involves completing applications, verifying credentials, ensuring compliance with payor requirements, and maintaining accurate records to facilitate smooth billing processes. The specialist also communicates directly with providers and payors to resolve issues and coordinate data for successful claims submission.

Responsibilities

Coordinate provider enrollment and revalidation with insurance payors
Verify credentials and ensure compliance with payor requirements
Maintain accurate provider records and submit applications
Resolve claims denials and update provider information
Communicate effectively with providers and payor representatives

Skills

Qualifications

High School Diploma or GED

About Vanderbilt University Medical Center

vumc.org

Headquarters

Nashville, Tennessee, United States

Company Size

10001+ employees

Founded

1875

View Profile

Vanderbilt University Medical Center (VUMC) is a leading academic medical center based in Nashville, Tennessee, offering patient care, medical education, and research. It encompasses multiple facilities including Monroe Carell Jr. Children's Hospital at Vanderbilt, and spans numerous clinical departments ranging from oncology to biomedical informatics. VUMC's mission is to personalize the patient experience through its caring spirit and distinctive capabilities, with a vision of being the world leader in advancing personalized health.