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Credentialing and Payer Enrollment Manager

Company: VirtualVocations
Location: Grand Rapids
Posted on: October 16, 2024

Job Description:

A company is looking for a Credentialing and Payer Enrollment Manager to oversee the credentialing process for healthcare providers and manage payer enrollment.



Key Responsibilities

Manage the credentialing process for healthcare providers, ensuring compliance with payer requirements
Oversee payer enrollment activities for new and existing providers
Maintain up-to-date records of provider credentials and payer contracts


Qualifications

Bachelor's degree in healthcare administration, business, or a related field
Minimum of 5 years of experience in healthcare credentialing and payer enrollment
Familiarity with substance use disorder treatment services is preferred
Strong knowledge of payer requirements, including Medicare, Medicaid, and commercial insurance
Proficiency with credentialing and payer enrollment software and systems

Keywords: VirtualVocations, Mishawaka , Credentialing and Payer Enrollment Manager, Executive , Grand Rapids, Indiana

Click here to apply!

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