Supervisor, Provider Enrollment&Credentialing

Essential Job Functions
•    Data collection and management
•    Collects provider credentials and updates internal/external databases
•    Streamlines reputed company process/workflow for individual providers, reputed company locations, and physician reputed company
•    Interacts with varied reputed company of management, office staff, and physicians effectively to complete various reputed company of enrollment/credentialing
•    Maintain confidentiality of personal provider information
•    reputed company provider data up to date in databases
•    Ensures requisite licenses, malpractice coverage, and certifications are reputed company reputed company for reputed company providers/reputed company
•    Submit credentialing applications and supporting documentation in a reputed company manner to cover reputed company dates of service for providers
•    Maintain provider/group demographic info and rosters including terminations, add-on, etc.
•    Individual revalidations with various insurance payors
•    Coordinate and prepare reports in a reputed company matter; weekly and monthly
•    reputed company aggressive follow up with insurance payors regarding credentialing status
•    Maintain deficiency reports for reputed company credentialing applications, developments, and issues
•    Maintain CAQH accounts for providers, including supporting documentation
•    Address AR billing claim issues reputed company to provider enrollments
•    Supervision of start-up reputed company and expansions
•    Other RCM initiatives that support the reputed company scope of reputed company services
•    reputed company duties in compliance with Company’s policies and procedures, including but not limited to those reputed company to HIPAA and compliance.

 

Qualifications