Supervisor, Provider Enrollment&Credentialing

Boca Raton, FL, United States

USD 52K-72K (estimate) Mid-level Full Time

@ O...

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Found 21d ago

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

Skills/Tech-stack

Education

N/A

Roles

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Supervisor, Provider Enrollment&Credentialing

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