Credentialing Specialist
4 weeks ago
At Alura Workforce Solutions, we are seeking a skilled Credentialing Specialist to join our dynamic team. As a Credentialing Specialist, you will play a vital role in ensuring our healthcare providers meet all necessary credentialing standards and qualifications.
Key Responsibilities:
- Manage the entire credentialing process, from collecting and verifying provider credentials to credentialing with payors.
- Maintain accurate records and coordinate with various internal and external entities.
- Ensure that only the most qualified providers are part of our network.
Requirements:
- Minimum three years' experience in provider credentialing standards, regulations, and best practices.
- Experience in credentialing within a managed care setting.
- Strong attention to detail and excellent organizational skills.
What We Offer:
- Full-Time, Onsite, Direct Placement, Benefited
Additional Information:
- Experience credentialing providers for privileges and enrollment of providers with PPO, HMO, IPA, and Government Payers via CAQH, PECOS, and PAVE is required.
- Excellent written and verbal communication skills.
- Proficient in Microsoft Office Suite.
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