Summary:
Seeking an experienced Credentialing Specialist to manage provider credentialing and ensure compliance with payer and regulatory requirements.
Responsibilities:
- Handle provider credentialing and re-credentialing
- Submit and track applications with payers
- Verify licenses, certifications, and documents
- Maintain accurate credentialing records
Requirements:
- Credentialing experience (healthcare required)
- Knowledge of CAQH, NPPES, PECOS, and payer portals
- Strong attention to detail and organization