Provider Enrollment/Credentialing Coordinator
Montgomery, AL, United States
USD 44K-58K (estimate) Entry-level Full Time
Tasks
- Collect and maintain provider credentials
- Complete CAQH credentialing for new providers
- Complete payer applications and recredentialing
- Contact payers for effective dates and identification numbers
- Enroll healthcare providers with health plans
- Ensure provider enrollment timeliness
- Maintain provider files for Medicaid and Medicare revalidation
- Monitor and follow up on provider application status
- Research and resolve provider enrollment issues
- Submit demographic and supporting documents to payers
- Support physician onboarding for credentialing and enrollment
- Track pending and completed application progress
- Update and maintain CAQH for existing providers
Perks/Benefits
- N/A
Skills/Tech-stack
Application processing | CAQH | Data Management | Document Management | Healthcare provider | Healthcare provider enrollment | Medicaid Enrollment | Medicare Enrollment | Provider credentialing | Provider enrollment | Quality Assurance | Recredentialing | Scheduling
Education
Associate Degree | Bachelor of Engineering | Bachelor of Science
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