Credentialing Specialist

4 weeks ago


Fort Lauderdale, Florida, United States Insight Global Full time

Job Summary

We are seeking a skilled Credentialing Specialist to join our team at Insight Global. In this role, you will be responsible for managing all aspects of the provider enrollment and onboarding process, ensuring seamless integration with our clients.

Key Responsibilities

  • Quality review, verification, and validation of provider credentialing files before primary source verification.
  • Prepare correspondence to communicate with providers on the status of applications, missing documentation, or follow-up on requests for outstanding items.
  • Coordinate with insurance payers to complete provider enrollment applications.
  • Ability to complete and maintain staff rosters.
  • Completing timely follow-up on all-payer enrollment applications.
  • Ensuring that re-credentialing and revalidations are completed timely to prevent any lapse in enrollment.

Requirements

  • A minimum of 2 years of provider enrollment and credentialing experience.
  • Knowledge and thorough understanding of managed care operations, including enrollment and re-credentialing.
  • Strong verbal and written communication skills.
  • Ability to navigate between multiple databases quickly and accurately.
  • Proficiency in Microsoft Office Suite (Outlook, Excel, Teams) and Credentialing Software.

Equal Employment Opportunity

Insight Global is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.



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