Credentialing Specialist

4 weeks ago


Long Beach, California, United States Alura Workforce Solutions Full time
Credentialing Specialist

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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