Provider Enrollment Coordinator
2 days ago
About This Role
We are seeking a Healthcare Credentialing Specialist with strong experience in managing provider enrollment, credentialing, and compliance with regulatory guidelines.
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 NCQA, CMS, and other 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.
- Communicate effectively with providers regarding application status, missing information, or required updates.
- Maintain accurate and up-to-date records in credentialing databases.
- Ensure compliance with NCQA, CMS, and other regulatory requirements.
- Coordinate with insurance companies, hospitals, and healthcare organizations for provider enrollment.
- Verify and maintain provider documentation, licenses, certifications, and affiliations.
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