
Credentialing Coordinator
1 week ago
Job Title: Credentialing Specialist
">Description:
">We are seeking a highly motivated and detail-oriented Credentialing Specialist to join our team. The ideal candidate will have a minimum of 2 years of experience in credentialing, preferably in the healthcare field.
">Responsibilities:
">- ">
- Manage initial and re-credentialing processes for healthcare providers.">
- Prepare, complete, and submit applications to payers (Medicare, Medicaid, and commercial insurers), state boards, and hospitals.">
- Track application statuses and proactively follow up to ensure timely approvals.">
- Maintain up-to-date and organized credentialing files and databases.">
- Verify provider information, including licensure, education, training, and work history.">
- Monitor and manage expirables (licenses, DEA, malpractice insurance, etc.).">
- Communicate regularly with providers and internal teams to gather required documentation.">
- Ensure compliance with NCQA, Joint Commission, CMS, and payer-specific requirements.">
- Respond to payer inquiries and resolve any discrepancies or delays.">
Requirements:
">- ">
- Minimum 2 years of credentialing experience in a healthcare or medical practice environment.">
- Knowledge of CAQH, NPPES, PECOS, and payer credentialing systems.">
- Strong attention to detail and time management skills.">
- Excellent written and verbal communication skills.">
- Proficiency in Microsoft Office Suite and credentialing software.">
- Ability to handle multiple tasks in a deadline-driven environment.">
- Graduation associate's degree preferred.">
About the Job:
">This is a full-time position that requires strong organizational and communication skills. If you are a motivated and detail-oriented individual with a passion for credentialing, we encourage you to apply.
">Benefits:
">- ">
- A dynamic and supportive work environment.">
- The opportunity to work with a talented team of professionals.">
- A competitive salary and benefits package.">
- Ongoing training and development opportunities.">
How to Apply:
">If you are interested in this exciting opportunity, please submit your resume for consideration.
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