The Payer Enrollment Associate will be responsible for CAQH enrollment, provider roster management, and billing support, ensuring timely and accurate provider enrollment while maintaining compliance with payer requirements. They will manage CAQH enrollments, oversee roster management, and support billing and enrollment operations.

As a Business Office Manager, you are responsible for the overall management of business office activities in accordance with current applicable federal, state, and local standard guidelines and regulations, and as directed by the administrator. You will also be responsible for coordinating with the Central Billing Office on managing insurance payments. Prior experience in business office operations in a LTC/SNF/AL/MC setting required.

Performs as a cross trained multi functional team member of the office practice. Ensures accurate and timely charge capture and billing of office visits and inpatient charges, front office assistant responsibilities, precertification, scheduling or other administrative functions as assigned. Responsible for collecting physician and technical superbills/rounding sheets daily.

Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS codes from provider documentation, assigning CPT-4, ICD-10-CM codes and modifiers, researching coding/billing issues, and analyzing medical records to determine coding appropriateness.