Sr Associate - Credentialing/Provider Enrollment
Tasks
- Coach on payer requirements
- Ensure HIPAA compliance
- Follow up with payers on application status
- Handle payer escalations
- Maintain CAQH profiles
- Maintain credentialing trackers
- Maintain payer portal entries
- Maintain strict data confidentiality
- Manage NPPES records
- Manage PECOS accounts
- Manage recredentialing timelines
- Own end to end enrollment files
- Prepare provider enrollment applications
- Resolve payer deficiencies
- Review submissions for accuracy
- Submit provider enrollment applications
- Track enrollment application status
- Update effective dates and expirables
Perks/Benefits
Skills/Tech-stack
AdvancedMD | AthenaHealth | CAQH | Credentialing tracking | Enrollment Workflow | Epic | Excel | HIPAA | MD Staff | MS Office | Modio | NPPES) | PECOS | Payer Portals | Recredentialing | Verity | Word
Education
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