Credentialing Liaison

Job Summary

A company is looking for a Credentialing Liaison to manage credentialing and enrollment processes for healthcare facilities and professionals.

Key Responsibilities

• Coordinate initial credentialing for facilities and healthcare professionals, verifying credentials and maintaining records
• Manage payer enrollment and revalidation for Medicare, Medicaid, and commercial insurance plans
• Communicate with facility leadership regarding credentialing timelines and issues, providing recommendations for resolution

Qualifications

• High School Diploma or GED required
• Preferred 1-2 years of experience in credentialing, healthcare administration, or a related field
• Experience in medical staff services, healthcare compliance, or insurance credentialing is a plus
• Ability to work independently and collaboratively in a remote environment
• Familiarity with credentialing software systems is advantageous