Compensation analyst vs provider enrollment specialist

Differences between compensation analyst and provider enrollment specialist duties and responsibilities

Compensation analyst example responsibilities.

• Manage vendor relationships with fiscal oversight, and ongoing cost management.
• Manage long-term incentive plan administration including SARP and stock option granting programs (LTI).
• Create and manage communication materials via PowerPoint publish to sales organization.
• Report and manage company healthcare budget and direct all vendor relationships.
• Manage special projects, develop senior level presentations and handle communications on behalf of SVP
• Provide oversight of sales compensation short-term incentive programs.
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Provider enrollment specialist example responsibilities.

• Manage federal and state-mandate physician credentialing activities; act as NCQA committee liaison.
• Provide enrollment counseling to eligible recipients about Medicaid manage care and promote their voluntary enrollment into an HMO.
• Review provider enrollment applications to ensure the credentials and licenses meet all requirements for participation in the Medicare program.
• Verify provider is eligible to participate in Medicare according to CMS guidelines.
• Verify claim information using ICD-9 and medical terminology and CHAMPUS/ TRICARE guidelines .!
• Complete require forms and application for changes or updates in billing systems including EFT and or notification of Athena.
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