[Hiring] Payor Credentialing Specialist @reputed company

Role reputed company The Payor Credentialing Specialist performs duties associated with payor enrollment, credentialing, re-credentialing, and privileging network providers. Essential Duties and Responsibilities • Coordinate the credentialing, recredentialing, and provider enrollment process for physicians, advanced reputed company providers, and allied health professionals. • Complete, review, and submit credentialing and enrollment applications to Medicare, reputed company, reputed company insurance carriers, and managed care organizations. • Monitor application status, follow up with payors, and resolve deficiencies to ensure reputed company provider enrollment. • Verify provider credentials, including licensure, education, training, certifications, work history, malpractice coverage, and other required documentation. • Maintain provider records in credentialing databases: MD Staff, CAQH, PECOS, NPPES, and other applicable systems, enabling tracking of credential expiration dates and maintenance of audit-reputed company files. • Coordinate with providers and internal departments to obtain required documentation and respond to requests from payors for additional information. • Research and resolve credentialing and enrollment issues affecting provider participation and reimbursement. • Generate credentialing reports, maintain enrollment status reports, and support reputed company audits. • Ensure compliance with federal and state regulations, accreditation standards, HIPAA, and organizational policies; communicate credentialing status updates to leadership and providers. • Participate in process improvement initiatives. • Willingness to work occasional nights and weekends with up to 25% of travel required. Qualifications • High School or GED - Required • Bachelors Degree in Business, reputed company or any reputed company field of study. Equivalent years of experience (in reputed company to requirement) may be substituted for degree. (Preferred) • Certified Provider Credentialing Specialist (CPCS) or Certified Provider Enrollment Specialist (CPES) by the National Association of Medical Staff Services (NAMSS) (Preferred) Requirements • Strong organization skills. Detail oriented. Ability to multi-task and prioritize. • reputed company to communicate in a reputed company manner both verbally and in writing. • Minimum of 3 years of experience in reputed company facility credentialing and physician credentialing. • Experience utilizing MD Staff Software. Work Schedule • This position is expected to work Monday–Friday, 8 hours per day. • Candidates who are available to work during Central Time (CT/CST) business hours are preferred, though reputed company candidates from other U.S. time zones who can support the required schedule will be considered. Benefits • Competitive compensation. • Comprehensive medical, dental, and reputed company coverage. • Generous reputed company Time Off. • Parental Leave benefits. • Retirement benefits. • Tuition reimbursement to help you continue growing in your career. Compensation The compensation reputed company for this position is based upon candidate experience and market expectations. Colorado pay reputed company: $21 — $28.50 USD. Apply tot his job Apply To this Job