Key Responsibilities:Payer Enrollment Management:Oversee the enrollment and revalidation process for healthcare providers with various payers.Prepare, submit, and track enrollment applications to ensure timely approval.Verify the accuracy of provider information, including NPI, tax ID, licenses, and certifications.Compliance and Documentation:Ensure compliance with federal, state, and payer-specific regulations.Maintain up-to-date knowledge of payer
Key Responsibilities:Payer Enrollment Management:Oversee the enrollment and revalidation process for healthcare providers with various payers.Prepare, submit, and track enrollment applications to ensure timely approval.Verify the accuracy of provider information, including NPI, tax ID, licenses, and certifications.Compliance and Documentation:Ensure compliance with federal, state, and payer-specific regulations.Maintain up-to-date knowledge of payer
The primary goal of this position is to manage the complex administrative and compliance-driven processes required for healthcare professionals to practice and for the organization to receive payment.Provider Credentialing (Verification and Compliance)Credentialing is the process of verifying a healthcare provider's qualifications to ensure they meet professional and regulatory standards. It's the quality control step.experience5
The primary goal of this position is to manage the complex administrative and compliance-driven processes required for healthcare professionals to practice and for the organization to receive payment.Provider Credentialing (Verification and Compliance)Credentialing is the process of verifying a healthcare provider's qualifications to ensure they meet professional and regulatory standards. It's the quality control step.experience5
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