Coordinates and supervises primary operational functions of Medical Staff Services, including credentialing, privileging, and orientation. Ensures hospital compliance with regulatory and accreditation standards while serving as a resource for the VPMA and medical staff.
Monument Health
3 Remote Job Openings at Monument Health
Responsible for auditing credential verifications and managing payer enrollment for facilities and providers to ensure organizational payment for services. Acts as a subject matter expert to resolve complex enrollment issues and maintain accurate plan participation status.
Ensure the proper interpretation, processing, and payment of inpatient and outpatient medical claims. Conduct timely follow-up on claims and research payer requirements to resolve submission issues.
