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Director of Payor Credentialing

Company: VirtualVocations
Location: Beaumont
Posted on: November 19, 2024

Job Description:

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



Key Responsibilities

Recruit, hire, and lead a credentialing team to manage payer enrollment
Establish credentialing workflows, policies, and procedures for efficiency and compliance
Oversee the payer enrollment process, including application submission and provider communications


Required Qualifications and Education

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 managing EDI, ERA, and EFT processes
Knowledge of technology and software including Google Suite, Monday, and MS Teams

Keywords: VirtualVocations, League City , Director of Payor Credentialing, Executive , Beaumont, Texas

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