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 app
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 app
Key Responsibilities1. Payer Follow-ups (Mandatory PE Follow-up Expertise)● Conduct timely follow-ups with payers via phone and email to obtain status updates on submitted enrollment applications. ● Manage follow-up workflows for new enrollments, revalidations, demographic updates, terminations, and group affiliations. ● Understand payer-specific processes, documentation needs, and follow-up cycles. 2. Communication & Professional Inte
Key Responsibilities1. Payer Follow-ups (Mandatory PE Follow-up Expertise)● Conduct timely follow-ups with payers via phone and email to obtain status updates on submitted enrollment applications. ● Manage follow-up workflows for new enrollments, revalidations, demographic updates, terminations, and group affiliations. ● Understand payer-specific processes, documentation needs, and follow-up cycles. 2. Communication & Professional Inte
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