Job Summary
A company is looking for a Credentialing Specialist who is passionate about process, detail, and making a meaningful impact behind the scenes.
Key Responsibilities
- Manage the end-to-end process for onboarding new practitioners, ensuring timely completion of all necessary steps
- Oversee new practitioner database setup, including demographic entry, onboarding tracking, and primary source verifications
- Perform NCQA delegation file reviews for all new practitioners and manage the recredentialing process
Required Qualifications
- High School diploma or equivalent
- 2+ years of credentialing experience
- Familiarity with Medicare, Medicaid, and commercial payor enrollment
- Proficient in Excel, including pivot tables and VLOOKUP
- A team player who can also work independently and manage multiple priorities
Comments