Provider Enrollment
Send a job offer directly to this candidate
I have 4 years experience in leadership involving provider enrollment, claim denials due to enrollment issue, sanction verification such as SAM, OIG, Pecos, licensing boards, DMF, DEX and LaADV. Provider enrollment liaison to major MCO plans and hospitals involving provider enrollment. SME for 21st century cures act for Louisiana.
Creating and implementing processes and guidelines. Training new and current employees on provider enrollment procedures and guidelines. provider escalation calls and email. overseeing call center and email response. QA regarding call center and provider enrollment applications.