Supervisor, Provider Enrollment&Credentialing
Boca Raton, FL, United States
USD 52K-72K (estimate) Mid-level Full Time
Tasks
- Collect and manage provider data
- Complete enrollment and credentialing activities
- Conduct provider revalidations with insurance payors
- Coordinate and prepare weekly and monthly reports
- Ensure compliance with HIPAA and company policies and procedures
- Follow up with insurance payors on credentialing status
- Maintain CAQH accounts and supporting documentation
- Maintain confidentiality of provider information
- Maintain deficiency reports
- Maintain provider and group rosters and demographic information
- Resolve AR billing claim issues related to provider enrollments
- Streamline provider onboarding workflow
- Submit credentialing applications and supporting documentation
- Supervise provider enrollment projects and expansions
- Update internal external provider databases
- Verify provider licenses malpractice coverage and certifications
Perks/Benefits
- N/A
Skills/Tech-stack
AR Billing | CAQH | Data Management | HIPAA | Provider credentialing | Provider enrollment | RCM | Recredentialing
Education
N/A
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