Credentialing Specialist

A company is looking for a RCM Credentialing Specialist / Payor Enrollment Specialist.

Key Responsibilities :

Process provider applications and re-applications while maintaining high quality standards

Renew medical licensure, hospital privileges, and other credentialing documents for providers

Prepare updates and provide application support to team members and clients

Required Qualifications :

Previous healthcare credentialing experience, including payor / provider enrollment and hospital credentialing

Basic knowledge of insurance law and payor requirements

Ability to utilize critical thinking skills in reviewing applications

Highly organized with the ability to work independently in a fast-paced environment

Proficient in Microsoft Office programs and tools