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Position Overview:A leading healthcare organization is seeking a highly organized and detail-oriented Provider Credentialing Specialist to manage credentialing, recredentialing, and payer enrollment. This role ensures compliance with regulatory and insurance requirements while supporting timely provider onboarding and uninterrupted reimbursement. Responsibilities:Manage full-cycle credentialing and recredentialing processesComplete and submit credentialing and payer enrollment applicationsVerify provider credentials (licenses, DEA, certifications, education, work history)Maintain credentialing files and ensure documentation accuracyEnroll providers with Medicare, Medicaid, and commercial payersTrack applications and follow up with insurance carriersMaintain CAQH profiles and ensure timely attestationsMonitor expirations and ensure ongoing complianceUse Monday.com to track workflows, deadlines, and onboardingQualifications:Credentialing and payer enrollment experience preferred Experience with Medicare, Medicaid, and commercial insuranceProficiency in CAQH, PECOS, and payer portalsStrong organizational and multitasking skillsAbility to work independently with minimal trainingCompensation & Benefits:Salary: $70,000 – $90,000+ (DOE)Schedule: Monday–Thursday 9:00 AM–5:00 PM; Friday 9:00 AM–1:00 PMHealth, dental, and vision insurance
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