Credentialing and Provider Enrollment Specialist

Pomona, CA

USD 47K-66K Mid-level Full Time

@ C...

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Found 1d ago

Tasks

Apply for license renewals
Communicate credentialing updates with providers
Complete provider enrollment applications
Coordinate with payers hospitals and credentialing verification organizations
Ensure state federal payer credentialing compliance
Follow credentialing SOPs and policies
Follow up with health plans and hospitals
Maintain credentialing data quality
Maintain provider database accuracy
Monitor application timelines
Process credentialing recredentialing privileging
Resolve credentialing issues

Perks/Benefits

Skills/Tech-stack

Education

N/A

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Credentialing and Provider Enrollment Specialist

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