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Credentialing
Compliance and Audit Support:
- Assist with external payer responses and conduct internal reviews.
- Ensure required training is completed for compliance purposes.
- Maintain up-to-date reference materials for internal teams on payer rules.
Payer Management:
- Maintain payer setup and readiness, including fee schedules and portal access.
- Interpret payer contracts and manuals to support clean claim submission.
- Monitor payer updates and policy changes, assessing their impact.
Collaboration and Communication:
- Collaborate cross-functionally on special projects for compliance improvement.
- Utilize strong analytical skills to interpret payer policies.
- Possess effective verbal and written communication skills for training.
Expressable
Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients.