Provider Credentialing Lead

Job Summary

A company is looking for a Provider Credentialing Onboarding Lead.

Key Responsibilities

• Serve as the primary contact for new providers during the onboarding process, ensuring effective communication and management of expectations
• Oversee the collection and management of required documentation for credentialing and payer enrollment, ensuring accuracy and compliance
• Identify and resolve complex issues in the onboarding process, providing insights for strategic improvements and training to team members

Required Qualifications

• 5+ years of experience in healthcare credentialing, provider enrollment, or provider relations
• Experience managing complex provider onboarding pipelines in a non-hospital or physician practice setting
• In-depth knowledge of CMS requirements and compliance standards
• Proficiency with credentialing software and managing provider data in CAQH
• High School Diploma or equivalent experience