Provider Credentialing & Enrollment Manager
Remote - United States, United States
R
USD 65K-70K (estimate) Mid-level Full Time
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
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
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