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Director of Payor Credentialing

Company: VirtualVocations
Location: Huntington Beach
Posted on: November 7, 2024

Job Description:

A company is looking for a Director of Payor Credentialing to oversee and optimize the payer enrollment and credentialing process for their physician group.



Key Responsibilities

Recruit, hire, and lead a credentialing team to manage payer enrollment
Establish workflows, policies, and procedures to streamline the enrollment process
Collaborate with various departments to ensure smooth onboarding and resolve credentialing-related issues


Required Qualifications

Bachelor's degree in healthcare administration or a related field
Minimum of 10 years of experience in healthcare credentialing and payer enrollment
At least 5 years in a leadership role managing a team
Experience in monitoring Clearinghouse activity and setting up payors with EDI, ERA, and EFT processes
Knowledge of technology and software, including Google suite applications and spreadsheets

Keywords: VirtualVocations, Glendora , Director of Payor Credentialing, Executive , Huntington Beach, California

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