Lead Credentialing And Enrollment

Description:

We are seeking a detail-oriented and experienced "Team Lead - Credentialing & Enrollment" to manage and oversee the provider enrollment and credentialing process for healthcare professionals. The role involves initiating/completing enrollment application for government/ commercial payers independently.

Responsibilities

Provider Credentialing & Enrollment

Compliance & Documentation

Payer Relations & Issue Resolution

Data Management & Reporting

Process Improvement & Training

Expereince: 4 to 6 years of experience (US-Medical billing).

Requirements:

Strong knowledge of CAQH, PECOS, NPPES

Medicare, Medicaid, and Commercial Payer credentialing/enrollment requirements

ERA, EFT, and EDI enrollment and payer processes

Familiarity with credentialing software/tools and payer portals.

Excellent verbal and written communication skills, problem solving skills, and attention to detail

Ability to prioritize and multi-task

Shall be a team player

Expertise in Microsoft Office