Credentialing Specialist

Responsibilities: Oversee end-to-end provider credentialing and payer enrollment for a nationwide virtual healthcare network. Ensure compliance and accuracy in provider records to minimize claim denials and optimize reimbursement.

Requirements: Requires 5-7 years of experience in healthcare credentialing and payer enrollment, preferably within telehealth or multi-state environments. A high school diploma is required, while an Associate's or Bachelor's degree in Healthcare Administration is preferred.

Key skills: Provider Credentialing, Payer Enrollment, Revenue Cycle Management, Compliance, CAQH, Healthcare Operations, Data Accuracy, Multi-state Provider Management, Government Payer Enrollment, Commercial Insurance Enrollment, Audit Support, Process Optimization

Keywords: Credentialing, Payer Enrollment, Telehealth, Virtual Care, Medicare, Medicaid, VA, Tricare, CAQH, Revenue Cycle Management, Healthcare Compliance, Provider Onboarding, Healthcare Administration, Multi-state Networks