
Senior Provider Enrollment Specialist
1 day ago
We are seeking a skilled Healthcare Credentialing Specialist to join our team. The ideal candidate will have a keen eye for detail, excellent communication skills, and the ability to work collaboratively with healthcare providers, payers, and internal teams.
Key Responsibilities:- Manage the full-cycle credentialing and re-credentialing process for healthcare providers.
- Verify and maintain provider documentation, licenses, certifications, and affiliations.
- Coordinate with insurance companies, hospitals, and healthcare organizations for provider enrollment.
- Ensure compliance with regulatory requirements.
- Maintain accurate and up-to-date records in credentialing databases.
- Communicate effectively with providers regarding application status, missing information, or required updates.
- Support audits, reporting, and quality improvement initiatives.
- Minimum 1 year of hands-on experience in healthcare credentialing or provider management.
- Familiarity with credentialing software/systems (CAQH, NPPES, PECOS, etc.).
- Excellent organizational and documentation skills.
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