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Provider Enrollment Manager

10 - 15 years

12 - 17 Lacs

Posted:1 day ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Key Responsibilities

• Act as first line leader and escalation point for credentialing department issues or inquiries related to provider enrollment.

• Excellent customer service skills and ability to work well with others at all levels.

• Contributes to the development of credentialing department standard operating procedures for efficient workflow and productive results relative to the enrollment of medical providers.

• Contribute to the development, maintenance and evaluation of performance standards of the credentialing department provider enrollment staff.

• Training and development of credentialing department provider enrollment staff members.

• Communicate with and assist credentialing department leadership and staff members in the implementation of provider enrollment workflows and expectations.

• Assist credentialing department provider enrollment and credentialing staff to resolve complex provider enrollment issues and manage escalations as required.

• Establishment of a routine evaluation and reporting system of credentialing provider enrollment staff related to the following

  • Quality of work
  • Volume of work
  • Time to resolve escalation

• Establishment of a routine evaluation and reporting system of credentialing department provider enrollment activity to identify trends and opportunities to contribute to efficient provider enrollment and recommend solutions.

• Report immediately to the Director of Credentialing & Provider Enrollment areas of risk, noncompliance or concerns affecting successful enrollment or continued enrollment of providers or adverse effects to reimbursement.

• Perform other duties as assigned. Interaction Expectations

• Arietis Health staff members and leaders

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