Pennsylvania Licensed Credentialing Specialist - Anaheim California

Company: VirtualVocations
Location: Anaheim, California
Posted On: 02/05/2025

A company is looking for a Provider & Payer Services Credentialing Specialist.



Key Responsibilities

Manage the DCA discovery phase and implementation process, ensuring compliance with NCQA standards and regulations
Screen incoming credentialing packets for accuracy and collaborate with various teams to ensure data integrity
Act as the primary contact for credentialing requests and maintain compliance with payer and regulatory audit requirements


Required Qualifications

High School Diploma/GED with additional college coursework or comparable work experience
2 years of experience in a managed care environment with insurance and credentialing knowledge
Strong computer literacy skills
Basic knowledge of Health Care, Managed Care Principles, and Contracting
CPCS - Certified Provider Credentialing Specialist - State of Pennsylvania upon hire More...

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