Are you detail-oriented and experienced in healthcare credentialing? Join our team to ensure smooth provider onboarding and compliance with insurance payers.
Key Responsibilities:
- Manage provider enrollment with Medicaid, Medicare, and commercial payers (PECOS, NPPES, CAQH).
- Handle credentialing and re-credentialing, ensuring compliance with regulatory standards (CMS, NCQA).
- Maintain accurate records of licenses and certifications, tracking expirations and renewals.
- Develop and enforce credentialing policies, conduct audits, and resolve application issues.
- Collaborate with providers, HR, and billing teams to streamline documentation and compliance.
- Travel to provider locations for document verification (Notary certification is a plus).
What We’re Looking For:
- Experience in healthcare credentialing and provider enrollment.
- Strong knowledge of PECOS, NPPES, CAQH , and payer enrollment processes.
- Excellent organizational and communication skills.
- Bachelor's degree preferred or equivalent experience.
- Must work onsite; remote work is not an option.
Apply today at Careers.CenturionAnesthesia.com .