Credentialing Specialist
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Job Summary
To support provider credentialing and enrollment activities, the part-time Credentialing Specialist will manage onboarding processes, maintain accurate provider records, and ensure compliance with payer and regulatory requirements in a virtual environment.
Key responsibilities
- Coordinate provider onboarding, credentialing, and enrollment activities from intake through approval
- Collect, review, and maintain provider documentation and profiles in credentialing systems
- Conduct follow-ups with payers regarding application status and maintain accurate records of activities
Required qualifications
- Minimum of 2 years of experience in healthcare administration, credentialing, or provider enrollment
- Experience with CAQH, PECOS, NPPES, and payer portals
- Proficiency in Microsoft 365 applications, including Outlook, Excel, and Teams
- Strong understanding of healthcare operations and payer processes
- Experience in an optometry or ophthalmology practice preferred
Complete Job Description
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