Credentialing Professional Leader
1 week ago
**Job Title:** Senior Credentialing Specialist
About the Position:We are seeking experienced professionals with a strong background in end-to-end provider enrollments, insurance credentialing, and recredentialing. This role is ideal for those who thrive in remote work environments and are committed to clear communication.
Key Responsibilities:- Manage Provider Onboarding Processes.
- Engage with payers via calls and emails to ensure successful application processing.
- Demonstrate expertise in submitting documentation for various payors.
- Maintain regular client communication and update providers' status.
- Handle end-to-end processes for creating and maintaining provider details on platforms like CAQH, PECOS, Availity, and others.
- Manage application and renewal processes for provider licenses.
- Ensure continuous data updating and maintenance for clients.
- A minimum of 5 years of experience in provider credentialing and enrollment.
- Strong organizational skills and ability to work independently remotely.
- Proficiency in using credentialing portals and managing associated documentation.
- Exceptional communication skills for effective engagement with clients and payers.
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