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Provider Credentialing Specialist

Provider Credentialing Specialist

VirtualVocationsCranston, Rhode Island, United States
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A company is looking for a Provider Credentialing Specialist Remote.

Key Responsibilities :

Ensure credentialing files are complete and current by managing new and re-credentialing applications for medical providers

Process contract payments and manage group payment allocations while transitioning manual processes to automated systems

Maintain internal provider grid and collaborate with Billing and Authorizations Departments to resolve credentialing-related issues

Required Qualifications :

Associates Degree

2+ years of relevant credentialing experience within healthcare

Medicaid / Medicare PECOS enrollment experience

Experience with Availity preferred

Ability to organize, prioritize work, and manage multiple priorities

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Credentialing Specialist • Cranston, Rhode Island, United States

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