Texas Credentialing Specialist
Company: VirtualVocations
Location: Atlanta
Posted on: February 16, 2025
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Job Description:
A company is looking for a Credentialing Specialist to manage
payer credentialing processes for healthcare providers.
Key Responsibilities
Obtain data from providers to initiate the credentialing
process
Perform quality review audits of credentialing files and maintain
up-to-date provider data
Coordinate with delegates and internal departments to ensure timely
credentialing and compliance
Required Qualifications, Training, and Education
5+ years of experience in managed care credentialing or provider
enrollment
Knowledge of NCQA and CMS regulatory requirements
Experience managing CAQH Provider Profiles
Extensive knowledge of Medicare and Medicaid provider enrollment
processes
Ability to function independently and manage multiple projects
effectively
Keywords: VirtualVocations, Atlanta , Texas Credentialing Specialist, Other , Atlanta, Georgia
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