Credentialing and Enrollment Specialist
Las Vegas, Nevada, UNITED STATES; REMOTE
R
USD 58K-104K Mid-level Full Time
Tasks
- Complete provider revalidation requests with payers
- Conduct credentialing and recredentialing internal audits
- Coordinate credentialing committee minutes
- Maintain clinician licensure and credentialing records
- Monitor renewal dates and advise medical staff steps
- Perform primary source verification
- Process provider applications and reapplications
- Review credentialing files with AAAHC and State Auditors
- Review medical staff credentialing with Medical Director
- Submit credentialing and hospital privileging applications
Perks/Benefits
Skills/Tech-stack
CAQH | Compliance | Credentialing | Data analytics | Database Management | Government Regulatory Research | Healthcare administration | Medical Staff | Medical Staff Privileges | Microsoft Excel | Microsoft Word | Pecos Enrollment | Primary Source Verification | Recredentialing | Regulatory Research | Source verification
Education
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