Credentialing Coordinator

About the Company
Credence Resource Management
About the Role
The Credentialing Coordinator will be responsible for managing provider enrollment and re-credentialing processes within the US Healthcare domain.
Responsibilities
- Provider enrollment & re-credentialing with payers
- Follow up with insurance companies via calls, emails & portals
- Maintain CAQH profiles and provider demographic data
- Coordinate with internal teams and payers for approvals
- Ensure compliance with payer guidelines
Qualifications
- Hands-on Credentialing experience (Provider side) required
- AR Callers with Credentialing exposure (Provider side) can apply
- Calling / Voice experience is mandatory
Required Skills
- Credentialing
- Provider Enrollment
- Re-Credentialing
- US Healthcare RCM
- AR Calling
- Payer Follow-ups
- Voice Process
- CAQH
- NPI
- Medicare
- Medicaid
- Commercial Insurance
- Insurance Verification
- Demogr...

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