Credentialing Specialist
5 days ago
We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team at Insight Global. As a key member of our healthcare enrollment team, you will be responsible for managing all aspects of the provider enrollment and onboarding process.
Key Responsibilities- Manage provider enrollment and onboarding processes, including initial applications, re-credentialing, and maintaining provider information in all necessary systems
- Verify and validate provider credentialing files before primary source verification
- Prepare and send correspondence to providers regarding application status, missing documentation, and follow-up requests
- Coordinate with insurance payers to complete provider enrollment applications
- Maintain accurate and up-to-date staff rosters and CAQH profiles for all providers
- Ensure timely completion of re-credentialing and revalidations to prevent enrollment lapses
- Minimum 2 years of experience in provider enrollment and credentialing
- Knowledge of managed care operations, including enrollment and re-credentialing
- Proficiency in Microsoft Office Suite and credentialing software
- Ability to navigate multiple databases quickly and accurately
As a valued member of our team, you will have the opportunity to work in a dynamic and inclusive environment where diversity and inclusion are highly valued. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
We are an equal opportunity employer and welcome applications from diverse candidates. If you need assistance or a reasonable accommodation during the application process, please contact us.
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