Provider Enrollment

In the summer of 2011, a transformative change began in the Medical Staff Services industry, led by two thought leaders: Donna Goestenkors and Dina Solis. Their vision and dedication have since redefined the landscape of provider enrollment, a critical but often undervalued facet of revenue cycle management in healthcare. The Genesis of a Revolution The

Provider enrollment stands at the crossroads of the healthcare industry, playing an instrumental role that is often overlooked and underappreciated. It's time to shed light on the vital importance of provider enrollment specialists and acknowledge the role they play in the broader context of healthcare management. A Glimpse Into the Past Years ago, the provider

In July 2022, Team Med Global surveyed payer enrollment professionals about their job titles, the departments they work in, and those to whom they report. Here’s how they responded: 47% Credentialing Coordinator/Specialist 21% Provider Enrollment Manager/Supervisor 11% Provider Enrollment Specialist/Analyst 5% Medicare Enrollment Specialist 5% Supervisor of Credentialing 11% Other Department 21% Billing 21% Credentialing

Whether your primary responsibilities are in the realm of payer enrollment or your organization is merging credentialing and payer enrollment functions, it may be time to up your game. The Provider Enrollment Specialist Certificate (PESC) demonstrates your mastery of Centers for Medicare & Medicaid Services (CMS) guidelines and regulations – the minimum requirements for enrollment

Team Med Global has unveiled the first-of-its-kind Executive Provider Enrollment Professional Competency Model. According to Team Med Global President Donna Goestenkors, CPMSM®, EMSP, the model reflects the skill sets required of payer enrollment specialists who are at the top of their field. “Executive Provider Enrollment Professionals exhibit the expertise, effectiveness, and impact that deliver value

Payer enrollment is the cog that kicks off the revenue cycle. While most revenue cycle graphics indicate that client intake is the first stage in the cycle, the reality is that enrollment is the critical first phase. Payer enrollment is the process of enrolling organizations and providers into payer networks. The process varies by payer,

Team Med Global released the results of the organization’s Payer Enrollment Staffing Survey, which was designed to determine the state of payer enrollment staffing in the healthcare industry. The results were sobering, with fully 52% of respondents stating that their organization’s payer enrollment staffing levels were insufficient. According to Team Med Global President Donna Goestenkors,

On April 2, 2020, Team Med Global provided a complimentary webinar, “Stronger Together: Payer Enrollment COVID-19 FAQs.” During and after the webinar, attendees posed timely questions and shared their teams’ experiences during the pandemic. TMG team members Donna Goestenkors, CPMSM®, EMSP, Yesenia Servin, CPMSM®, and Larry DeHoyos, CPCS®, PESC, respond to attendees’ questions and comments:

The ever-changing landscape of the medical staff services profession can lead to ill-defined areas of responsibility, additional assigned responsibilities, or both. When you don’t have the training or tools to do the job well, it can feel like you’ve been thrown into the deep end of the pool without knowing how to swim. This is

When NAMSS conference attendees huddle during Team Med Global’s “Payer Enrollment Table Talk” on October 21, they’ll teach as much as they learn. “We’re hoping that MSPs and payer enrollment specialists come prepared to share their experiences,” said Donna Goestenkors, president of TMG. “Whether someone is brand new to the payer enrollment landscape or is

When I first started in the Payer Enrollment industry almost 20 years ago, I worked for a large, national healthcare provider organization in the San Francisco Bay Area and was charged with my company’s first-ever, official role of managing federal and state enrollments and private payer contracts for 150 provider service locations across the United

Whether you decided to assume the role of payer enrollment manager on your own or you were voluntold to take charge of the payer enrollment team, there are four payer enrollment management fundamentals that you should keep top-of-mind. Payers First things first. Where is the accurate payer list and does it include effective dates? As