Associate Director, Payer Enrollment
Tasks
- Coordinate credentialing reports and statistics
- Develop auditing and reporting tools
- Ensure HIPAA compliance
- Ensure payer enrollment protocols are followed
- Lead internal and external meetings
- Maintain compliance with health plan credentialing requirements
- Mentor and train enrollment staff
- Oversee delegated and non delegated health plan projects
- Oversee practitioner network enrollment
- Resolve provider enrollment status issues
- Review and streamline onboarding workflows
- Update provider data in credentialing systems
- Work with stakeholders to resolve credentialing problems
Perks/Benefits
- 401k
- Dental insurance
- Expense reimbursement
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Wellness programs
Skills/Tech-stack
Athena EMR | Audit Reporting | Credentialing | Cycle management | Delegated Payers | HIPAA | Health Plan Compliance | Managed Care Credentialing | Managed care | Medicaid | Medical Staff Services | Medicare | Microsoft Excel | NCQA Guidelines | Process Automation | Provider enrollment | Revenue Cycle | Revenue Cycle Management
Education
N/A
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