Payer Credentialing Specialist - Lincolnwood Illinois

Company: VirtualVocations
Location: Lincolnwood, Illinois
Posted On: 11/08/2024

A company is looking for a Payer Credentialing Specialist - Physician Services - System Wide.



Key Responsibilities

Enroll providers with managed care plans and maintain CAQH applications
Compile and audit credentialing information, updating databases and managing application processes
Ensure compliance with federal, state, and regulatory standards throughout the credentialing process


Required Qualifications, Training, and Education

High School Diploma required; Associate Degree preferred in a related field
3 years of experience in medical staff services or payer enrollment
Certification as CPMSM or CPCS required or must be pursued within 4 years of hire
Knowledge of insurance regulations and managed care contracts
Experience with database management and word processing More...

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