Supervisor, Provider Enrollment&Credentialing

Job description

Essential Job Functions: 5 years of experience in provider enrollment/credentialing within a multi-location physician practice management company, RCM, or healthcare system. - Data collection and management - Collects provider credentials and updates internal/external databases - Streamlines onboarding process/workflow for individual providers, practice locations, and physician groups - Interacts with varied levels of management, office staff, and physicians effectively to complete various elements of enrollment/credentialing - Maintain confidentiality of personal provider information - Keep provider data up to date in databases - Ensures requisite licenses, malpractice coverage, and certifications are all current for all providers/groups - Submit credentialing applications and supporting documentation in a timely manner to cover all 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 - Provide aggressive follow up with insurance payors regarding credentialing status - Maintain deficie...