California Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to manage the credentialing of doctors and facilities with various insurance payors.

Key Responsibilities

• Enroll and revalidate doctors and facilities with payors
• Process applications for licensing, permits, certifications, and relevant credentialing documents
• Provide support for credentialing concerns and maintain compliance with policies and procedures

Required Qualifications

• High school diploma or equivalent
• 1-2 years of business office experience in a healthcare environment
• Experience with Microsoft Word and Excel preferred
• Knowledge of practice management systems and internet-based insurance websites
• Prior credentialing and contracting follow-up experience preferred