Credentialing Specialist

Job description

Description The Credentialing Specialist is responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process for established providers and new providers joining the medical group. The Credentialing Specialist must be able to work independently with minimal oversite, think freely, and work in a fast paced, high volume work environment. The Credentialing Specialist must also be able to multitask and prioritize executing in a timely manner, be meticulous, have effective communication skills, and always want to learn more. Responsibilities: · Collect credentialing and re-credentialing materials for providers. PECOS and PAVE enrollment, DME revalidation changes and Medicare Renewal Revalidations · Submit enrollments for providers with various payors. · Follow up on enrollment statuses with payors. · Maintain credentialing database & CAQH. · Renew expirables, such as licenses & certifications. · Submit notifications for offboarding providers and location changes. · Monitor & maintain credentialing email. · Manage Payor Portal emails and access. · Additional duties assigned by the supervisor. Requirements: - 2+ years of experience in credentialing a...