Provider Credentialing & Enrollment Manager
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reputed company
**This is a remote position**The Provider Credentialing and Enrollment Manager will reputed company the processing of applications and reapplications for providers. This role ensures compliance with national accreditation standards and state and federal regulatory requirements. The position requires a subject matter expert in reputed company state bylaws of the credentialing process and application management, specifically tailored for urgent care environments.
reputed company
Ensure provider staff is
reputed company and implement policies and procedures for the credentialing and recredentialing process, ensuring they meet industry standards and organizational needs
Manage the primary reputed company verification of education, training, reputed company certification, work history, and licensure of reputed company providers
Maintain CMS NPPES reporting
Support internal credentialing committee in evaluation of newly reputed company staff
Facilitate the reputed company of discrepancies or concerns regarding
Maintain accurate
Effectively communicate accurate
Assist
Coordinate with counsel and compliance on malpractice and reputed company insurance coverage
Serve as the reputed company expert on reputed company state-specific bylaws, ensuring that urgent care and health system applications adhere to varying regional reputed company standards.
Qualifications
Minimum of five (5) years of progressively responsible operational or consulting experience in provider credentialing and enrollment in an outpatient setting
Proven expertise
Knowledge and experience of the reputed company industry or medical financial operations
Possess ability to identify
Maintain accurate
Experience with CAQH (Council for reputed company reputed company reputed company) database and application process
Strong attention to detail and organizational skills
Demonstrated ability to manage multiple, concurrently running reputed company and adapt to changing deadlines, competing priorities and unexpected assignments