Position: Health Insurance Credentialing Specialist
Location: On Site in Davie, FL (Mon- Fri ONLY!!)
Pay Rate: $20-$24 Hourly Based On Experience
Looking to HIRE RIGHT AWAY!!!
Experience/ Qualifications:
- A minimum of 2 years of provider enrollment and credentialing experience
- Knowledge and thorough understanding of managed care operations including enrollment, and recredentialing.
- Experience with CAQH Proview, NPI Registry, Department of Health, AHCA
- Provider enrollment experience with Medicaid, Medicare, BCBS, Managed Care Health
Summary
- Manage all aspect of the provider enrollment and onboarding process, including initial applications, re-credentialing and maintaining provider information in all necessary systems
- Quality review, verification, and validation of provider credentialing files prior to Provider Enrollment – primary source verification (education, licensure, and certifications)
- Prepare correspondence to communicate with providers on the status of applications, missing documentation, or follow up on request for outstanding items
- Coordinates with insurance payers to complete provider enrollment applications
- Ability to complete and maintain staff rosters
- Completing and maintaining all CAQH profiles for all providers
- Completing timely follow-up on all payer enrollment applications
- Ensuring that re-credentialing and revalidations are completed timely to prevent any lapse in enrollment
