Credentialing and Provider Enrollment Coordinator

Responsibilities: Manage day-to-day credentialing and re-credentialing for providers, ensuring compliance with managed care and NCQA guidelines. Process provider data updates in MD Staff and coordinate with payers to ensure timely enrollment.

Requirements: Requires a high school diploma or equivalent, or one year of applicable experience. Strong preference for candidates with 2-3 years of delegated credentialing and health plan experience.

Key skills: Credentialing, Provider Enrollment, CAQH Applications, MD Staff, NCQA Guidelines, Managed Care Criteria, Delegated Audits, Regulatory Compliance, Data Management, Payer Relations

Keywords: Credentialing, Provider Enrollment, CAQH, MD Staff, NCQA, Managed Care, Delegated Payers, Healthcare Administration, Provider Data, Regulatory Compliance, Health Plan, Medical Staffing