
Medical Provider Credentialing Professional
7 days ago
Seeking experienced professionals to support the credentialing and enrollment process for medical providers.
Key Responsibilities:
- Coordinate and manage credentialing and re-credentialing processes for healthcare providers.
- Oversee Group NPI enrollments for select payers.
- Assist with Medicare PECOS enrollment and PTAN-related issues.
- Support ERA and EFT setup processes with insurance companies.
- Collaborate with payers to ensure timely processing of applications.
- Ensure compliance with payer requirements and maintain accurate records.
- Coordinate tasks related to transitioning to a new EMR platform.
Requirements:
- Proven experience in provider credentialing and enrollment with various commercial and government payers.
- Strong knowledge of Medicare PECOS and PTAN systems.
- Experience handling group NPI enrollments and insurance EFT/ERA setups.
- Familiarity with EMR platforms (preferably Athena).
- Excellent communication, documentation, and follow-up skills.
- Ability to manage multiple tasks and meet deadlines.
Preferred Qualifications:
- Previous experience working with EMR credentialing processes.
- Understanding of state-specific and national payer guidelines.
- Strong problem-solving and organizational skills.
Why Apply?
This role offers an opportunity to work closely with payers and contribute to the success of our organization. If you have experience in provider credentialing and enrollment, we encourage you to apply.
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