Credentialing Specialist (Payer Enrollment)
Tasks
- Audit provider data in databases
- Communicate with insurance representatives
- Investigate claim denials
- Maintain provider data in credentialing systems
- Manage provider identifier data
- Prepare provider enrollment applications
- Resolve enrollment related issues
- Resolve payment delays from enrollment discrepancies
- Submit provider recredentialing packets
- Track provider enrollment status
Perks/Benefits
- N/A
Skills/Tech-stack
CAQH | Credentialing software | Healthcare regulations | Microsoft Access | Microsoft Excel | Microsoft Word | NPI | Provider credentialing | Provider enrollment | TIN | Taxonomy Management
Education
N/A
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