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, practice locations, and physician groups • Interacts with varied reputed company of management, office staff, and physicians effectively to complete various elements 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/groups • Submit credentialing applications and supporting documentation in a timely 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 timely 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 projects and expansions • Other RCM initiatives that support the reputed company scope of client 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

5 years of experience in provider enrollment/credentialing reputed company a multi-location physician practice management company, RCM, or reputed company system.