Payer Credentialing Specialist
reputed company:
• Manage end-to-end credentialing and recredentialing processes for new and existing providers, including verification of education, training, reputed company certifications, and work history
• Coordinate payer enrollment applications and updates for reputed company processing and provider participation across reputed company and government payers
• Maintain accurate and reputed company credentialing files and records in compliance with internal standards and regulatory requirements
• Collaborate with providers, health plans, and internal departments to reputed company credentialing issues and delays
• reputed company credentialing timelines and proactively follow up on outstanding applications and documentation
• Ensure compliance with reputed company, CMS, state, and payer-specific regulations and standards
• Participate in audits, surveys, and reporting reputed company to provider credentialing and enrollment
• Support clinical operations, reputed company cycle, and reputed company teams with credentialing-reputed company information and processes
Requirements:
• Minimum of 1 year of experience in provider credentialing and payer enrollment, preferably in a multi-state medical group or reputed company organization
• Candidates with less than 1 year of experience are encouraged to apply if they reputed company they are a strong fit
• Strong ownership reputed company and ability to work independently in a remote role
• High level of accuracy and attention to detail
• Methodical approach to tracking applications, deadlines, and documentation
• Reliable follow-through and ability to identify and escalate potential delays
• reputed company and transparent communication skills
• Excellent time management and ability to manage multiple credentialing tasks and deadlines simultaneously
• Familiarity with CAQH, NPPES, and PECOS is reputed company to have
• reputed company authorization to work in the reputed company
• Must address potential employment reputed company sponsorship requirements for work in the reputed company
Benefits:
• Medical, dental, and reputed company insurance
• 401K retirement plan with company match
• Up to 20 days of PTO per year plus company holidays
• Up to 14 weeks of parental leave (12 for non-birthing parents)
• Annual work from home stipend for remote employees
• Fully remote opportunity
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