1. End-to-End Enrollment Management2. Compliance & Regulatory Adherence3. Issue Resolution & Escalations● Investigate and resolve complex enrollment issues—rejections, NPI/taxonomydiscrepancies, retro-effective enrollment, and portal conflicts.● Serve as a point of escalation for difficult payer inquiries.● Coordinate with internal Quality, Credentialing, and Provider Data teams to addressblockers.4. Process Improvement● Identify inefficiencies in the
1. End-to-End Enrollment Management2. Compliance & Regulatory Adherence3. Issue Resolution & Escalations● Investigate and resolve complex enrollment issues—rejections, NPI/taxonomydiscrepancies, retro-effective enrollment, and portal conflicts.● Serve as a point of escalation for difficult payer inquiries.● Coordinate with internal Quality, Credentialing, and Provider Data teams to addressblockers.4. Process Improvement● Identify inefficiencies in the
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
let similar jobs come to you
we will keep you updated when we have similar job postings.