In this vital role, you will be responsible for ensuring accurate and timely credentialing of healthcare professionals and managing their enrollment processes with various insurance payors. Your expertise will help maintain compliance and support our commitment to providing access to high-quality patient care.
Key Responsibilities:
- Verify and maintain the credentials of healthcare professionals, including licenses, certifications, and educational qualifications
- Manage the enrollment process of healthcare providers with multiple payor insurance plans
- Ensure timely submission of credentialing and re-credentialing applications
- Communicate effectively with Credentialing Verification Organization, healthcare providers, insurance companies, and internal teams to resolve issues
- Monitor and track credentialing and enrollment statuses to ensure compliance with regulatory requirements
Skills and Qualifications:
- Strong organizational and administrative skills with attention to detail
- Excellent communication and interpersonal skills
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment
- Proficiency in Microsoft Office Suite
- Proven experience in healthcare credentialing and insurance enrollment preferred
- Knowledge of healthcare regulations and payor requirements preferred
We offer a collaborative work environment, opportunities for professional growth, and a comprehensive benefits package.
Requirements:Required:
AA degree
1+ years' experience in a healthcare setting
Preferred:
Bachelor's degree in healthcare administration or related field
1+ years' experience in credentialing and enrollment
Compensation details: 26-36 Hourly Wage
PIa375c1731259-30492-38614964
...Job Title: Senior QA Tester Location: Remote (Anywhere in USA) Experience Level: 5 10 Years Position Overview The Senior QA Tester is responsible... ...10 years of experience in quality assurance or software testing roles. Proven experience testing...
...Senior Nuclear Electrical Engineer Charlotte, NC 28273 or Stonington, CT 06378 System One is seeking a Senior Nuclear Electrical Engineer in Charlotte, NC or Stonington, CT to perform a variety of engineering and design activities involving power plant...
...NoHo Hospitality Group is seeking a Bar Manager to join our hospitality family under our Beverage Director Josh Nadel , a Master Sommelier. This opportunity has tremendous growth potential within our growing hospitality family. Ideal candidates possess:...
...Position Summary The Business Office Manager is responsible for ADP and Time Clock, Payroll, Time Sheets, Accounts Payable, Accounts Receivable, Resident Trust, Petty Cash, Statements. The Business Office Manager maintains office services by organizing office operations...
...Port City Veterinary Referral Hospital is seeking a dedicated and skilled AnesthesiaCertified Veterinary Technician to join our Radiation Oncology team at our beautiful Portsmouth, NH location! Anticipated Schedule: Four 10-hour shifts M-TH or Tu-F...