Provider Enrollment/Credentialing Coordinator
Montgomery, AL, United States
USD 44K-56K (estimate) Entry-level Full Time
Tasks
- Collect and maintain provider credentials
- Complete CAQH credentialing for new providers
- Coordinate with payers on effective dates and identification numbers
- Enroll healthcare providers with health plans
- Maintain provider files for Medicaid and Medicare revalidation
- Meet enrollment timeliness requirements
- Monitor and follow up on application status
- Research and resolve provider enrollment issues
- Submit payer applications and recredentialing
- Support physician onboarding for enrollment applications
- Track pending and completed applications
- Update and maintain CAQH for existing providers
- Update provider demographics and supporting documents
Perks/Benefits
- N/A
Skills/Tech-stack
Application processing | CAQH | Credentialing | Data Management | Document Management | Healthcare provider enrollment | Medicaid | Medicare | Process research | Provider enrollment | Record Keeping
Education
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