What are the responsibilities and job description for the Provider Enrollment and Compliance Officer position at NTT DATA?
Provider Enrollment and Compliance Officer Job Description
In this role, you will be responsible for researching, completing, and maintaining compliance with individual government payers through credentialing, re-credentialing, and audit processes and procedures. You will also be responsible for contacting providers when revalidation notices are received and updating credentialing and billing systems with provider information upon inquiry or receipt from government/commercial payers.
The ideal candidate will have 2-5 years of work experience with government payers and 1 year of experience with provider enrollment. They will be adept at problem-solving and decision-making skills, able to work independently, and proficient in Excel and Outlook. Key Responsibilities:
In this role, you will be responsible for researching, completing, and maintaining compliance with individual government payers through credentialing, re-credentialing, and audit processes and procedures. You will also be responsible for contacting providers when revalidation notices are received and updating credentialing and billing systems with provider information upon inquiry or receipt from government/commercial payers.
The ideal candidate will have 2-5 years of work experience with government payers and 1 year of experience with provider enrollment. They will be adept at problem-solving and decision-making skills, able to work independently, and proficient in Excel and Outlook. Key Responsibilities:
- Contact providers when revalidation notices are received.
- Update credentialing and billing systems with provider information upon inquiry or receipt from government/commercial payers.
