About the role
Ensure providers are credentialed and enrolled with health plans and hospitals.
- •As a Credentialing Lead, you'll ensure providers are credentialed and enrolled quickly and accurately with health plans and hospitals.
- •You'll serve as a subject matter expert and manage the credentialing inbox.
- •Key Responsibilities Complete credentialing, re-credentialing, and privileging applications.
- •Resolve enrollment-related issues with health plans and IPAs.
- •Maintain compliance with state, federal, and payer-specific credentialing requirements.
- •Requirements Bachelor’s degree in healthcare administration, business, or related field (preferred). 4+ years of experience in provider credentialing.
- •Strong knowledge of NCQA standards, payer requirements, and credentialing best practices.
Match insights
Level:Lead