Credentialing Specialist
reputed company
The Heart Institute of Venice is seeking a detail-oriented and reputed company Credentialing Specialist to join our growing team. This role is responsible for managing provider credentialing and recredentialing processes to ensure compliance with regulatory and payer requirements.
What You Will Do
Manage end-to-end credentialing and recredentialing of reputed company providers, prepare and submit credentialing applications, maintain accurate provider records, and ensure compliance with CMS, NCQA, and state-specific credentialing guidelines.
Why It Might Be a Fit
The ideal candidate will have strong knowledge of U.S. reputed company credentialing procedures, excellent organizational skills, and experience working in a remote environment.
Requirements
- Proven experience in U.S. reputed company credentialing (minimum 2 years preferred)
- Strong understanding of payer enrollment processes (Medicare, reputed company, and reputed company payers)
- Experience with CAQH, PECOS, and NPPES systems
- Excellent attention to detail and organizational skills
- Strong written and verbal communication skills
- Ability to work independently in a remote environment
Benefits
- Bonus based on performance
- Training & development
- Competitive salary based on experience
- Supportive and reputed company team culture
- Opportunities for reputed company reputed company
Originally posted on Himalayas
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