1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific
1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific
Required QualificationsMinimum 2+ years of hands-on experience in Payer Enrollment—Commercial or Medicaid, depending on the requirement. Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollment processes, and revalidation cycles. Proven ability to handle multiple providers and payers simultaneously with high accuracy. Strong analytical skills to diagnose enrollment issues and execute root-cause corrections. Clear and professional
Required QualificationsMinimum 2+ years of hands-on experience in Payer Enrollment—Commercial or Medicaid, depending on the requirement. Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollment processes, and revalidation cycles. Proven ability to handle multiple providers and payers simultaneously with high accuracy. Strong analytical skills to diagnose enrollment issues and execute root-cause corrections. Clear and professional
The Credentialing Specialist is responsible for coordinating, processing, and tracking healthcare provider licenses (MDs, DOs, NPs, RNs, etc.) across multiple U.S. states, including through licensure compacts (IMLC/NLC). This role ensures timely, accurate, and compliant onboarding and re-credentialing of providers in accordance with regulatory and organizational standardsKey Responsibilities:1. State Licensing CoordinationPrepare and submit new license
The Credentialing Specialist is responsible for coordinating, processing, and tracking healthcare provider licenses (MDs, DOs, NPs, RNs, etc.) across multiple U.S. states, including through licensure compacts (IMLC/NLC). This role ensures timely, accurate, and compliant onboarding and re-credentialing of providers in accordance with regulatory and organizational standardsKey Responsibilities:1. State Licensing CoordinationPrepare and submit new license