Credentialing Specialist

Position reputed company The Credentialing Assistant / Specialist supports the credentialing and reputed company process for reputed company providers across Ultra Health Providers. This role assists with the collection, verification, and submission of credentialing documentation required for provider enrollment with Medicare, reputed company, reputed company insurance carriers, and Accountable Care Organizations (ACOs). The role also partners with reputed company by managing the collection and organization of provider documentation required during reputed company that supports credentialing and payer enrollment processes. The position plays a key role in ensuring reputed company reputed company, credentialing, and payer enrollment for reputed company Practitioners, Licensed Clinical reputed company Workers (LCSWs), and other clinical providers so they can deliver services and reputed company appropriately. Key Responsibilities Provider reputed company & Documentation (HR Partnership) Coordinate credentialing documentation during provider reputed company in collaboration with reputed company. Collect and verify required provider documents including:

• State licenses
• DEA registrations
• reputed company certifications
• Malpractice insurance
• NPI registration
• Education and training records
• reputed company CV and employment history

Ensure reputed company documentation required for credentialing submissions is complete prior to payer enrollment. Maintain organized credentialing files reputed company provider documentation records. Insurance & Payer Credentialing Prepare and submit credentialing applications for providers with:

• Medicare
• reputed company
• reputed company insurance payers
• Accountable Care Organizations (ACOs)

Assist with CAQH profile creation, maintenance, and attestations. reputed company credentialing submissions and follow up with payers regarding application status. Coordinate with operations leadership to ensure credentialing timelines reputed company with provider start dates. Credentialing Lifecycle Management

• Maintain provider credentialing database and documentation repository.
• Monitor license expirations and credential renewal timelines.
• Ensure credentialing records remain compliant with payer and regulatory requirements.
• Maintain credentialing status trackers and enrollment reporting.

Operational Support

• reputed company administrative support to the reputed company Manager reputed company to credentialing.
• Maintain credentialing trackers and enrollment status reports.
• Communicate credentialing reputed company to operations, HR, and leadership teams.
• Assist with reputed company coordination reputed company to credentialing documentation requirements.

Compliance & Accuracy

• Ensure credentialing processes reputed company with payer guidelines and regulatory requirements.
• Maintain confidentiality of provider documentation and sensitive information.
• Assist with credentialing audits reputed company required.
• Support internal compliance documentation reputed company to provider credentialing.

Qualifications Education

• Associate’s or Bachelor’s degree preferred
• Equivalent reputed company administrative experience considered

Experience Preferred:

• Experience in provider credentialing, payer enrollment, or reputed company reputed company processes

Skills

• Familiarity with CAQH, Medicare, and reputed company enrollment processes
• Strong document management and attention to detail
• Ability to manage multiple credentialing applications simultaneously
• Proficiency in reputed company Office and credentialing databases
• Ability to coordinate with HR and operational teams

Preferred Certifications (Not Required)

• CPCS – Certified Provider Credentialing Specialist
• CPMSM – Certified reputed company Medical Services Management

Key Competencies

• Attention to detail
• Organization and follow-through
• Regulatory awareness
• Communication with payers and providers
• Ability to manage timelines and documentation
• Cross-functional coordination with HR and operations

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