Manager

• Execute provider enrollment and credentialing applications across assigned payers using CAQH ProView, primary source verification, payer portal submissions, and follow-up
• Track application statuses and turnaround times, flagging delays or missing documentation
• Maintain accurate spreadsheets and dashboards, including status logs, SLA trackers, and denial/resubmission tracking
• Troubleshoot missing NPI data, license discrepancies, payer portal issues, and rejected applications through resolution
• Use AI tools for repetitive or research-heavy work, such as drafting follow-up communications, summarizing payer requirements, and organizing data
• Partner with credentialing and RCM teams to communicate enrollment status and prevent billing or provider go-live delays
• Lead contractors and vendors across credentialing and enrollment workflows
• Report to the Head of Provider Operations

Fay

Credentialing Manager