The role ensures the financial viability of the organization by managing accurate and timely provider credentialing with government and commercial payors
Job Summary
The role ensures the financial viability of the organization by managing accurate and timely provider credentialing with government and commercial payors.
Employees are expected to maintain the utmost level of confidentiality while adhering to DCH policies and HIPAA regulations.
The position requires acting as a liaison between administrative assistants, providers, and management to facilitate the credentialing and revalidation process.
Matching Summary
The role ensures the financial viability of the organization by managing accurate and timely provider credentialing with government and commercial payors.
Skills & Requirements
Must-have
Review provider documents for accuracy
Enroll providers in Medicare Medicaid plans
Ensure HIPAA confidentiality compliance
Manage credentialing matrix updates
Coordinate with CBO Director and Coding Manager
Nice-to-have
Assist in training other team members
Demonstrate professional demeanor
Maintain flexibility in scheduling
Adhere to corporate integrity guidelines
Key Requirements
High school diploma or GED
Three or more years of related work experience in credentialing process