Provider Credentialing & Enrollment Manager

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Summary: **This is a remote position** The Provider Credentialing and Enrollment Manager will oversee 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 all state bylaws of the credentialing process and application management, specifically tailored for urgent care environments. Description: Responsibilities: Ensure provider staff is credentialed and enrolled with payers to ensure sufficient clinical coverage and minimal claims reimbursement denials Develop and implement policies and procedures for the credentialing and recredentialing process, ensuring they meet industry standards and organizational needs Manage the primary source verification of education, training, board certification, work history, and licensure of healthcare providers Maintain CMS NPPES reporting: Support internal credentialing committee in evaluation of newly hired staff Facilitate the r...