Credentialing and Provider Enrollment Specialist
Tasks
- Apply for license renewals
- Communicate credentialing updates
- Complete provider enrollment applications
- Ensure credentialing compliance
- Follow SOPs and policies
- Follow up with health plans and hospitals
- Maintain credentialing data quality
- Maintain provider database
- Monitor application timelines
- Process credentialing re credentialing privileging applications
- Resolve credentialing issues
- Serve as liaison with payers hospitals verification organizations
Perks/Benefits
Skills/Tech-stack
Credentialing | HIPAA | Healthcare administration | Medicaid | Medicare | NCQA standards | Provider enrollment
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