Credentialing and Provider Enrollment Specialist

job
  • Centurion Anesthesia
Job Summary
Location
New York ,NY
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
03 Feb 2025
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Job Description

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 .

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