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Provider Credentialing Specialist
2 weeks ago
As a Credentialing Professional, you will play a crucial role in ensuring timely and accurate provider applications submissions. Your expertise will facilitate smooth onboarding processes and maintain compliance with relevant regulations.
Key Responsibilities:- Provider Enrollment & Application Management:
- You will demonstrate extensive knowledge of the end-to-end provider enrollment process.
- Proficiency in accurately completing high-volume provider applications across various specialties and payer types is essential.
- Ensuring timely and efficient submission of all completed applications to relevant entities is critical.
- Tracking application statuses and proactively following up on outstanding items to expedite approval is vital.
- Extensive experience in creating and managing accounts within key healthcare application portals is required.
- Establishing and maintaining provider profiles for efficient data sharing on CAQH (Council for Affordable Quality Healthcare) is essential.
- Navigating state-specific Medicaid enrollment processes is also necessary.
- Submitting and managing Medicare enrollment applications through the Provider Enrollment, Chain and Ownership System (PECOS portal) is critical.
