We are seeking a detail oriented and experienced Healthcare Credentialing and Enrollment Specialist to join our team. You will play a crucial role in ensuring that our healthcare providers are credentialed and enrolled with various insurance plans, enabling seamless patient care and reimbursement processes

How you will make an impact

• Credentialing Process Management: Manage the credentialing process for healthcare providers, including physicians, nurse practitioners, and allied health professionals.
• Enrollment with Insurance Plans: Initiate and complete enrollment applications with various insurance plans and networks.
• Verification and Documentation: Verify provider credentials, licenses, certifications, and relevant documentation required for credentialing and enrollment.
• Managing Multiple Deadlines: Prioritize and manage multiple credentialing and enrollment deadlines effectively to ensure timely provider participation in insurance networks.
• Communication and Engagement: Foster positive relationships and effectively engage with healthcare providers to facilitate necessary credentialing and enrollment activities.
• Update Provider Profiles and Rosters: Maintain and update provider profiles and rosters with accurate information regarding credentials, affiliations, and insurance participation.
• Compliance: ...