Provider Enrollment & Credentialing Specialist

Key Responsibilities:

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  Manage the credentialing and re-credentialing processes for physicians, nurse practitioners, and physician assistants.

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  Enroll new providers with Medicare, Medicaid, and commercial insurance plans.

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  Maintain accurate and up-to-date provider information in internal databases and with payer systems.

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  Track expirables (e.g., licenses, certifications, malpractice insurance) and ensure timely renewals.

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  Communicate with providers and internal departments to gather necessary documentation and resolve enrollment or credentialing issues.

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  Monitor and respond to payer requests and follow up to ensure timely processing.

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  Stay current on enrollment and credentialing regulations and payer requirements.

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  Support facility privileging processes when applicable.

Qualifications:

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  2+ years of experience in healthcare credentialing and/or provider enrollment.

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  Familiarity with CAQH, PECOS, NPPES, and commercial insurance enrollment processes.

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  Strong organizational skills and attention to detail.

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  Ability to work independently and manage multiple tasks and deadlines.

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  Excellent communication skills, both written and verbal.

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  Experience in wound care or with mobile healthcare providers is a plus.

Preferred Skills:

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  Knowledge of credentialing software and platforms.

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  Experience working with a geographically distributed provider team.

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  Understanding of state licensing requirements and compliance standards.

Why Join Us?

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  Opportunity to be part of a mission-driven team making a direct impact on patient care.

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  Supportive and collaborative work environment.

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  Competitive salary and benefits package.