Credentialing/Provider Enrollment Specialist | Managed Care & Corporate Development
Tasks
- Authenticate credentialing documentation
- Communicate credentialing requirements to stakeholders
- Coordinate payor reporting and enrollment workflows
- Coordinate with medical staff and external agencies for documentation
- Follow up on incomplete credentialing information
- Maintain credentialing records
- Monitor credential expiration dates
- Prepare audit and accreditation reports
- Resolve credentialing discrepancies
- Support provider onboarding and enrollment maintenance
- Verify healthcare professional credentials
Perks/Benefits
Skills/Tech-stack
Accreditation support | Audit preparation | Credentialing | Delegated Credentialing | Documentation Management | Enrollment maintenance | Healthcare Compliance | Medicaid | Medicare | Medicare Enrollment | NPIs | NPPES) | PECOS | Payor Loading | Primary Source Verification | Provider Directory Maintenance | Provider directory | Provider enrollment | Provider onboarding | Record management | Source verification | TINs | Taxonomy Codes
Education
Associate Degree | Bachelor of Arts | Bachelor of Engineering | Bachelor of Science
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