Responsibilities Post all payments Medicare FL/NC and Commercial EOB’s, drop statements when needed while posting, ensure claims have been tagged/BB’d & printed, fix “claim processing errors detail report.” Present Projects: Review & note all M/care’s denials before giving to appropriate dept ALL denials from Humana ALL Humana “Custodial” denials ALL HMO denials ALL Medicare’s PR-9; 18…

The Provider Enrollment Specialist facilitates the application from a new provider through all stages in order to enroll the provider with commercial and/or government payers as well as facilities. The Specialist is also responsible for updating practitioner information in both the internal software and with external payers. In addition to data entry, the specialist also maintains copies of…