Medical Credentialing Specialist

2 weeks ago


Granite City, Illinois, United States Gateway Regional Medical Center Full time

Gateway Regional Medical Center is a leading healthcare provider offering continuous nursing, medical, and social services on a 24-hour basis. We are committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.


We offer a stable and growing company with many opportunities for training and advancement within the medical field. Our comprehensive benefits package includes competitive market pay, opportunities for bonus, and various plans for medical, dental, and vision insurance.


Key Responsibilities:

  • Maintain accurate and up-to-date provider information in CAQH profiles.
  • Submit provider enrollment applications to insurance companies and follow up on their status.
  • Request provider rosters from insurance companies to ensure demographic information is correct.
  • Term providers from insurances as needed and maintain accurate demographics.
  • Submit re-credentialing provider enrollment applications when necessary.
  • Respond to daily emails from insurances regarding enrollments.
  • Submit information to Medicare and IMPACT.
  • Work credentialing claim holds in EMR.

Requirements:

  • High School Diploma or GED Equivalent.


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