Credentialing Specialist

4 weeks ago


Foley, Alabama, United States South Baldwin Regional Medical Center Full time
Job Summary

We are seeking a skilled Credentialing Specialist to join our team at South Baldwin Regional Medical Center.

The successful candidate will be responsible for initiating, maintaining, and managing the credentialing process with insurance payers. This includes establishing relationships with healthcare providers and staff to ensure timely completion of enrollment and financial stability of employed physician/practices.

The ideal candidate will have a high school diploma or equivalent, with a bachelor's degree preferred. A minimum of one year of experience in a related field is required.

Key Responsibilities:

  • Initiate and maintain credentialing process with insurance payers
  • Establish relationships with healthcare providers and staff
  • Orient prospective providers in credentialing process and licensure requirements
  • Ensure provider compliance with health plan enrollment

Requirements:

  • High school diploma or equivalent
  • Bachelor's degree preferred
  • Minimum one year experience in related field


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