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Nevada Health Centers, Inc Provider Relations Manager in Las Vegas, Nevada

*[Provider Relations Manager *[Overview [Are you looking for a career to be a part of agreat culture of support and growth? Then welcome you made it to the job posting for you![At Nevada Health Centers, we look for people who will embrace our vision of excellent service. Who have the desire to serve andmake a difference in our communities. We value as an organizationdiversity and inclusion. If you can see yourself here and can deliver a positive impact, then check out some of the details below!

[TheProvider Relations Manager maintains the provider network with all NVHC payers and oversees contract coordination, credentialing, privileging, and provider enrollments for the medical, behavioral health, residents, pharmacy, dental providers, and all clinical staff. This position will work closely with all providers and clinical staff to obtain all information necessary to complete credentialing and privileging requirements; coordinates hospital applications and re-appointments for providers as needed; maintains current credentials for all active providers; complies with all HIPAA and HRSA rules and regulations. Furthermore, the Provider Relations Manager oversees the coordination, compilation, and preparation of reports pertaining to existing practitioners as requested; prepares all correspondence associated with the credentialing and reappointment process; provides verification of employment and malpractice coverage for all medical and dental providers.

[Responsibilities: *[Credentialing[and Privileging]{aptos=""}]{aptos=""}]{aptos=""}]{aptos=""}]{aptos=""}]{aptos=""}]{aptos=""}]{aptos=""}*

  • Manages and maintains all credentialing and privileging as required by Health Resource and Service Administration (HRSA), to include all clinical staff
  • Oversees license applications, onboarding
  • Manages Source of Truth document for Revenue Cycle

[Provider/Clinical Staff[Contracting]{aptos=""}]{aptos=""}

  • Manages and maintains government and private insurance contracts
  • Oversees the Initial Provider Medicare, Medicaid and all commercials and managed care applications
  • Oversees the re-enrollment process enrollments with private insurance, hospitals, Medicare and Medicaid
  • Maintains NV Standardized Insurance application and any additional documentation necessary for enrollments

[Provider[Relations]{aptos=""}]{aptos=""}

Responsible for managing the Provider Relations Privileging and Licensing Specialists and the Provider Relations Coordinator

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