To support a growing practice, the full-time Licensing and Credentialing Specialist will manage end-to-end payer enrollment activities and provider licensing operations, ensuring timely enrollment and compliance while working remotely. Key Responsibilities Own the end-to-end payer enrollment process for new and existing providers across commercial, Medicare, and Medicaid health plans Submit, track, and follow up on payer enrollment applications to ensure timely provider participation and minimize delays Collaborate with internal and external stakeholders to resolve enrollment issues and maintain accurate provider data across multiple platforms Required Qualifications Bachelor's Degree in Healthcare administration or related field 3+ years of experience in provider payer enrollment and credentialing Experience managing provider enrollments with commercial, Medicare, and Medicaid payers Working knowledge of CAQH, payer portals, and provider credentialing systems Understanding of NCQA, CMS, state licensing, and payer credentialing requirements
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