Offer summary
Qualifications:
In-depth knowledge of the credentialing process, Experience with multi-state credentialing of 5+ states, Hands-on experience with PECOS, CAQH, and CAQH ProView, 5+ years communicating with health plans, 3+ years with Google workspace and Excel.
Key responsabilities:
- Complete and submit individual and group applications
- Maintain credentialing data warehouse and rosters
- Highlight errors in Portals and Contracts to find solutions
- Manage application and panel status by interacting with Health Plans
- Work with the clinical team to acquire necessary documentation