Licensing and Credentialing Specialist

Company: VirtualVocations
Location: Newport News
Posted on: November 14, 2024

Job Description:

A company is looking for a Licensing and Credentialing Specialist to ensure clinicians are properly credentialed, licensed, and enrolled in payor networks.

Key Responsibilities

Review and verify provider credentialing applications for compliance
Submit and monitor licensing and enrollment requests to payers
Maintain accurate provider records in various databases and act as a liaison between providers and payors

Required Qualifications

Associates degree or equivalent combination of education and experience
3-5 years of experience in a credentialing and enrollment setting
Knowledge of multi-state/national provider credentialing and enrollment
Experience with PECOS/Medicare and state Medicaid enrollment platforms
CPCS certification is a plus

Keywords: VirtualVocations, Portsmouth , Licensing and Credentialing Specialist, Other , Newport News, Virginia

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