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Description
- Importance of enrollment accuracy in complex healthcare organizations
- Government Payers & Compliance Requirements Multiple TINs and NPIs
- Multi-Specialty Organizations Enrolling and credentialing providers across different specialties
- Payer directory accuracy and specialty designation challenges
- Coordinating with credentialing, enrollment, and billing teams
- Case Studies & Scenarios
- Best Practices & Tools
Learning Objectives
- Analyze and apply payer-specific requirements for government programs (Medicare/Medicaid) and supervised provider arrangements to ensure compliant and timely enrollments.
- Manage complex organizational structures by accurately enrolling and maintaining providers across multiple TINs, NPIs, and specialties.
- Develop strategies to prevent delays and revenue loss through proactive tracking, compliance monitoring, and coordination between credentialing, enrollment, and billing teams.
Build on the credentialing and enrollment processes you have already learned and implemented.
Areas Covered
- NPI
- NPPES
- Medicare
- Medicaid
- Credentialing
- Enrollment
- Locums
- Enrollment Process
- Provider Rosters
- Timeline tracking
- Reporting
- Turn Around Time
- CAQH
- PECOS and Medicare enrollment pathways
- Medicaid variations by state
- Supervised providers (residents, fellows, advanced practice providers)
- Common pitfalls and audit risks
Who Should Attend
- Practice Managers
- PESC
- CPMSM
- Revenue Cycle
- Directors
- CFO
- Credentialing
- Provider Enrollment
- EFT Enrollment
- Operations.
Speaker
Yesenia Servin is a nationally certified credentialing manager and provider enrollment specialist with over 27 years of experience in the healthcare industry. As an expert in credentialing and provider/payer enrollment, she has a deep understanding of Medicare & Medicaid enrollment.
Currently, Yesenia is the Director of Contracting, Credentialing & Provider Enrollment at United Vein & Vascular Centers. Through YS Credentialing PLLC, she assists organizations in developing and implementing best practices, guidelines, and processes, and guides the credentialing and payer enrollment structure.
Yesenia excels at training and mentoring administrative, credentialing, and enrollment healthcare professionals.
Her responsibilities include managing payer enrollment, keeping colleagues informed on industry trends, and serving as a liaison to all departments affecting payer-enrollment processes. She provides revenue cycle consulting services to various healthcare providers and organizations, including those focused on durable medical equipment, hospital and health systems, community mental health organizations, and global managed care organizations.
Yesenia is actively involved in professional and academic roles:
- Current Charter Oak University Faculty
- NAMSS member (and past NAMSS Educational Conference Guest Speaker)
- Current member of the NAHRI Leadership Council
- Current trainer for The Chicago School of Professional Psychology
- TMG Collaborator
She holds academic training in microeconomics and communications from NEIU and healthcare administration from Concordia University Chicago. In her personal time, Yesenia enjoys spending time with her family and pugs, and finds joy in trekking across the US states and regions.