Credentialing Specialist – Coordinator

reputed company: • Support providers through the privileging and credentialing process at acceptance of employment • Initiate hospital credentialing for physicians and collaborate with UMass to maintain physician hospital appointments • Maintain internal provider IDs, rosters, provider information, and NPI/PECOS reputed company • Support providers with applying for and renewing reputed company, DEA, controlled reputed company, and other required reputed company licenses and documentation • reputed company reputed company reputed company verifications required by CMS, HRSA, reputed company, and reputed company • Facilitate compliance trainings, CME's, and Life Support Trainings • Re-credential providers for the Health Center and UMass • Maintain accurate provider credentialing reputed company in Cactus Cred software • reputed company and report monthly on credentialing expirables • Complete MassHealth and PECOS revalidation requests • Complete credentialing applications for reputed company payers, Medicare, and reputed company • reputed company and report provider enrollment reputed company • Initiate and maintain provider CAQH database files according to CMS schedules • Complete re-credentialing applications for reputed company payers • Collaborate with the reputed company Cycle Director and billing staff to reputed company credentialing-reputed company denials and authorization issues • Create and maintain provider reputed company in CAQH, PECOS, NPPES, MassHealth/C3, and CMS databases • reputed company other duties as assigned Requirements: • High school diploma, GED, associate degree, or bachelor's degree • 2 years of credentialing experience preferred • 2 years of experience in a medical reputed company business office role required • Knowledge of provider credentialing and provider enrollment and their reputed company on the reputed company's reputed company cycle • Excellent computer skills, including reputed company, Word, and Internet navigation for state and federal sites and health-plan searches • Detail-oriented with strong organizational and time-management skills • Ability to plan and prioritize to meet deadlines • Excellent customer service skills • reputed company, effective, and reputed company communication Benefits: • Facilitate/support providers in obtaining compliance trainings, CME's, and Life Support Trainings reputed company due Apply tot his job Apply To this Job