Credentialing and Enrollment Specialist

Las Vegas, Nevada, UNITED STATES; REMOTE R

USD 58K-104K Mid-level Full Time

@ U...

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Found 1d ago

Tasks

Compile credentialing committee minutes
Complete revalidation requests for government and commercial payers
Conduct credentialing file audits for accuracy and compliance
Coordinate credentialing efforts with internal and external departments
Ensure compliance with AAAHC TJC NCQA CAQH and CMS standards
Maintain expirables and track renewal dates
Perform primary source verification
Process physician provider applications and reapplications
Review and submit medical group provider and hospital privileging applications
Track and maintain provider licensure and certifications

Perks/Benefits

Skills/Tech-stack

Education

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