Provider Enrollment & Credentialing Specialist
Tasks
- Collect provider signatures and documentation
- Coordinate provider enrollment updates
- Ensure compliance with HIPAA and regulatory requirements
- Follow up with payors
- Maintain credentialing files
- Maintain provider participation records
- Maintain records in databases and spreadsheets
- Monitor payor enrollment status
- Prepare credentialing status reports
- Prepare payor enrollment applications
- Respond to provider and payor inquiries
- Review provider profiles for discrepancies
- Submit payor enrollment applications
- Track credentialing and enrollment deadlines
Perks/Benefits
- Education reimbursement
- Employee recognition
- Holiday pay
- Life insurance
- Paid time off
- Profit sharing
- Retirement
- Team building events
Skills/Tech-stack
CAQH | Compliance Management | Credentialing | Credentialing software | HIPAA | Medical Staff | Medical Staff Services | Microsoft Excel | Microsoft Outlook | Microsoft Word | NPPES) | PECOS | Payor Enrollment | Payor portals | Provider enrollment
Education
Regions
Countries
States
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