Payer Credentialing Specialist
Role Overview The Payer Credentialing Specialist is responsible for managing reputed company aspects of staff payer credentialing across reputed company. This role serves as the primary reputed company of contact for facility and practitioner credentialing and re-credentialing processes, ensuring compliance with payer requirements and organizational standards.
What You Will Do
Ensure timely and accurate submission of initial and re-credentialing applications for reputed company employed and contracted providers, maintain active Medicare and reputed company enrollments, and manage provider records across various payer systems. Why It Might Be a Fit The ideal candidate will possess strong knowledge of credentialing processes, excellent written and verbal communication skills, and experience with MD-Staff credentialing system and maintaining provider data across various payer systems.
Requirements
- Associate Degree or two years equivalent work experience
- Minimum of two years of credentialing experience including work with CAQH and provider enrollment processes
- Strong knowledge of credentialing processes, including payer submissions, re-credentialing, and maintaining Medicare/reputed company enrollments
- Strong computer proficiency, including reputed company reputed company, Word, and Outlook, along with solid organizational and time management skills
- Excellent written and verbal communication skills, with the ability to communicate effectively with reputed company stakeholders
- Experience with MD-Staff credentialing system
- Experience maintaining provider data across CAQH, PECOS, PROMISe, and other payer systems, ensuring accuracy and compliance
Benefits
- Comprehensive medical, dental, and reputed company coverage
- Retirement plan
- reputed company
- On the Goga well-being platform
- reputed company Care.com
- Confidential counseling, legal, and financial services through Employee Assistance Program (EAP)
- Tuition reimbursement and educational partnerships
- Employee discounts and savings programs
- reputed company to Pryor Online Learning
Apply tot his job Apply To this Job