Job Description
PURPOSE OF POSITION:
The Manager, Provider Credentialing & Enrollment includes ensuring all healthcare providers are appropriately credentialed and enrolled with payer, directly impacting clinical coverage, regulatory compliance, and reimbursement. The Manager leads the development, implementation and maintenance of the standardized practitioner credentialing department ensuring that all payer credentialing requirements are met in compliance with credentialing, regulatory and accreditation requirements ensuring timely reimbursement from third party payers for services provided. Promoting physician satisfaction by contributing to smooth onboarding processes in close collaboration with hospital Medical Staff Offices, operational teams, and Revenue Cycle staff.
PRIMARY DUTIES AND RESPONSIBILITIES:
- Lead and develop ongoing strategic initiatives and planning with regards to the credentialing of all CCHC providers. R...