This is a remote position that will require some travel onsite as needed. Responsibilities include administrative support to physicians, managing office equipment, assisting with special events, and organizing licensing needs. The role also involves maintaining confidentiality and ensuring a safe work environment.
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This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patientβs right to privacy. This position is fully remote.
The Provider Enrollment Specialist works to identify Provider Payer Enrollment issues or denials by researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools, and contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS). This position performs follow-up with market locations to research and resolve payer enrollment issues and follows up with CMS via phone, email or website to resolve any Payer Enrollment issues.
The Credentialing Specialist is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all providers in Priviaβs high-performance medical group. Follows documented process to ensure timely processing of Primary Source Verification completion for initial and recredentialing. Works with both internal and external stakeholders to resolve complex provider credentialing issues.