Medical Credentialing Specialist

What this role involves

The Medical Credentialing Specialist is responsible for maintaining provider credentials and enrollments with health plans, including Medicare and Medicaid. Duties include processing applications, verifying licenses, and managing medical records. The role reports to the Compliance Officer and involves coordinating with revenue cycle and health law firms.

Skills this posting asks for

• credentialing
• provider enrollment
• pecos
• medicare
• medicaid
• payer enrollment
• recredentialing
• medical records
• compliance
• data entry
• database management

Requirements

• Level: mid
• Remote policy: onsite

From the employer’s posting

DescriptionJob Title: Medical Credentialing SpecialistDepartment: ComplianceReports to: Compliance OfficerSum