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Provider Credentialing & Enrollment Manager

Remote - United States, United States R

USD 65K-70K (estimate) Mid-level Full Time

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Found 1d ago

Tasks

Assist accounts receivable with payer denials
Communicate credentialing status
Conduct root cause analysis
Coordinate malpractice insurance coverage
Develop credentialing policies and procedures
Ensure provider payer enrollment
Maintain CMS NPPES reporting
Maintain credentialing databases
Manage primary source verification
Process provider credentialing applications
Process provider recredentialing applications
Resolve credentialing discrepancies
Support credentialing committee evaluations

Perks/Benefits

Remote work

Skills/Tech-stack

CAQH | CMS NPPES | Cause analysis | Credentialing Databases | Healthcare Compliance | Medical Licensure Verification | Payer enrollment | Primary Source Verification | Provider credentialing | Provider enrollment | Root Cause Analysis | Root cause | Source verification | State Bylaws

Education

N/A

Roles

Credentialing Manager | Enrollment Manager | Manager

Regions

Countries

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