Credentialing and Provider Enrollment Specialist
Tasks
- Apply for license renewals
- Communicate credentialing updates with providers
- Complete provider enrollment applications
- Ensure state federal and payer credentialing compliance
- Follow SOPs and compliance policies
- Follow up with health plans and hospitals
- Maintain credentialing data quality
- Maintain provider data in MD Staff
- Monitor application timelines
- Process credentialing and privileging applications
- Resolve credentialing issues with IPAs and health plans
- Serve as liaison to payers hospitals and credentialing verification organizations
Perks/Benefits
Skills/Tech-stack
Application processing | Credentialing | Database Management | MD Staff | Medicaid | Medicare | NCQA | Process compliance | Provider enrollment
Education
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