Provider Enrollment & Credentialing Specialist
Tasks
- Conduct background checks and verify education and work history
- Maintain provider licenses and registrations
- Maintain provider profiles in CAQH ProView
- Manage provider credential collection and verification
- Monitor and notify license and certification expirations
- Resolve claim denials with Revenue Cycle Management
- Submit and track Medicaid enrollment applications
- Submit and track Medicare enrollment applications
- Submit and track commercial insurance panel enrollment applications
- Update provider data in internal systems
Perks/Benefits
- Dental insurance
- Dependents coverage
- Executive partnership
- Medical insurance
- Remote
- Strategy influence
- Vision insurance
Skills/Tech-stack
CAQH Proview | CMS | Credentialing | DEA | Malpractice Insurance | Medicaid | Medicare | NCQA | NPI | NPPES) | PECOS | Provider enrollment | State licensing
Education
N/A
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