Provider Enrollment & Credentialing Specialist
Tasks
- Act as liaison for credentials and provider numbers
- Align clinician credentialing with payor contract terms
- Conduct self audits for credentialing accuracy
- Coordinate hospital privileges appointments
- Maintain credentialing files
- Manage provider recredentialing
- Monitor credentialing reports
- Process provider enrollment applications
- Protect patient privacy and PHI
- Review credentialing and licensure information
- Run system reviews for provider data accuracy
- Submit provider enrollment and credentialing paperwork
- Track malpractice coverage renewals
- Track provider credentialing changes
- Verify license and DEA renewals
Perks/Benefits
- 401k savings plan
- Dental insurance
- Education reimbursement
- Employee Referral Bonus Program
- Employee assistance program
- Employee discounts
- Employee stock purchase plan
- Health savings account
- Health spending account
- Legal insurance
- Life insurance
- Long-term care insurance
- Long-term disability
- Medical plan options
- Paid Holidays
- Paid time off
- Short-term disability
- Vision insurance
Skills/Tech-stack
CMS | HIPAA | Microsoft Excel | Microsoft Word | NCQA
Education
Regions
Countries
States
Cities
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