What are the responsibilities and job description for the Manager Provider Credentialing and Enrollment position at Med First Primary & Urgent Care?
Med First is seeking an experienced Manager Provider Credentialing and Enrollment to join the Revenue Cycle and Finance team. Reporting to the CFO, ideal candidate will be a self starter, superior communication skills, ability to work in a fast paced environment, lead credentialing team and provide oversight to all provider credentialing and enrollment activities. This position will be required to interact regularly with APPs and Physicians and Senior Leadership. Med First is a rapidly growing Family Practice and Urgent Care organization with clinics across North and South Carolina. Tremendous opportunity for someone looking to expand their career!
Responsibilities:
1. Compiles and maintains current and accurate data for all providers
2. Completes provider credentialing and recredentialing applications; monitors applications and follows-up as needed
3. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
4. Maintains corporate provider contract files.
5. Maintains knowledge of current health plan and agency requirements for credentialing providers.
6. Sets up and maintains provider information in online credentialing databases and system.
7. Tracks license and certification expirations for all providers to ensure timely renewals.
8. Ensures practice addresses are current with health plans, agencies and other entities.
9. Tracks license, DEA and professional liability expirations
10. Maintains ASC appointment files, and information in credentialing database.
11. Audits health plan directories for current and accurate provider information.
12. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
13. Other duties as assigned.
Qualifications:
Minimum 3-5 years experience in provider credentialing and enrollment, knowledge of all Microsoft products, credentialing software (Modio preferred), Bachelor’s degree or equivalent experience. Medical terminology and coding helpful, organized, detail oriented, and able to work under minimum supervision.
Job Type: Full-time
Pay: From $71,276.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Work Location: In person
Salary : $71,276
