Credentialing and Provider Enrollment Specialist
Tasks
- Apply for license renewals
- Communicate credentialing updates
- Coordinate with payers hospitals and verification organizations
- Ensure compliance with credentialing requirements
- Fill provider enrollment applications
- Follow SOPs and policies
- Follow up with health plans and hospitals
- Maintain credentialing data quality
- Maintain provider data in database
- Monitor application timelines
- Process credentialing applications
- Process privileging applications
- Process recredentialing applications
- Resolve credentialing issues
Perks/Benefits
Skills/Tech-stack
Application tracking | Compliance | Credentialing | Critical Thinking | Data Management | Database Administration | Hospital Privileging | Medicaid | Medicare | NCQA | Problem Solving | Provider enrollment | Verbal communication | Written communication
Education
N/A
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