Credentialing & Compliance Specialist
Skills
- Credentialing experience
- Regulatory knowledge
- Microsoft Office proficiency
- Strong communication skills
- Problem-solving abilities
Responsibilities
- Manage provider credentialing & re-credentialing, ensuring compliance with payer, state, and federal regulations.
- Identify and resolve discrepancies in the credentialing and enrollment processes.
- Maintain and update credentialing databases and internal records.
- Partner with internal teams to address credentialing inquiries.
- Troubleshoot provider enrollment issues with payer networks.
Education
- High school diploma/GED or higher
Benefits
- Comprehensive Health Coverage
- 401(k) with company matching
- Unlimited PTO
- Wellness programs
- Team-building activities
- Competitive Compensation
- Office perks
Average salary estimate
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