
Credentialing Specialist
5 days ago
Responsibilities:
- Complete provider enrollment and re-credentialing applications with commercial and government payers.
- Manage CAQH, PECOS, NPPES, Availity, and payer portals for credentialing updates.
- Track application status, follow up with payers, and resolve issues proactively.
- Maintain accurate records of credentialing and enrollment documentation.
- Ensure compliance with payer and regulatory requirements.
- Collaborate with providers, office staff, and billing teams to support smooth practice operations.
Qualifications:
- Minimum 2+ years of credentialing experience (RCM or healthcare setting).
- Experience with wound care provider credentialing preferred.
- Strong knowledge of payer enrollment processes (Medicare, Medicaid, Commercial).
- Familiarity with CAQH, PECOS, Availity, and payer portals.
- Excellent attention to detail, follow-up, and organizational skills.
- Strong written and verbal communication skills.
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