Licensing and Credentialing Specialist Job at Virtual Vocations Inc, United States

  • Virtual Vocations Inc
  • United States

Job Description

To support a growing practice, the full-time Licensing and Credentialing Specialist will manage end-to-end payer enrollment activities and provider licensing operations, ensuring timely enrollment and compliance while working remotely. Key Responsibilities Own the end-to-end payer enrollment process for new and existing providers across commercial, Medicare, and Medicaid health plans Submit, track, and follow up on payer enrollment applications to ensure timely provider participation and minimize delays Collaborate with internal and external stakeholders to resolve enrollment issues and maintain accurate provider data across multiple platforms Required Qualifications Bachelor's Degree in Healthcare administration or related field 3+ years of experience in provider payer enrollment and credentialing Experience managing provider enrollments with commercial, Medicare, and Medicaid payers Working knowledge of CAQH, payer portals, and provider credentialing systems Understanding of NCQA, CMS, state licensing, and payer credentialing requirements

Job Tags

Full time

Similar Jobs

Cambridge Health Alliance

Ob/Gyn Chief Physician Assistant Job at Cambridge Health Alliance

 ...ethnically and socio-economically diverse patient population.CHAs department of Obstetrics and Gynecology is seeking an Ob/Gyn Chief Physician Assistant to join our team. We provide a full spectrum of gynecological, obstetric, maternity and reproductive health care... 

Zeus Fire and Security

Security Consultant Job at Zeus Fire and Security

 ...Role Overview As a PASS Security Consultant, you will play a crucial role in driving revenue growth by identifying, prospecting, and closing sales opportunities for Life Safety & Security products and services. Your primary responsibility will be to develop and maintain... 

Touchstone Health Services

Clinical Manager - Home Health Job at Touchstone Health Services

 ...Clinical Manager For Home HealthSierra Health Care has been the home health provider Las Cruces families have trusted since 1982. As Clinical Manager for Home Health, you'll lead the clinical team that makes that trust possible overseeing care delivery, supporting staff... 

SUREPASS LOGISTIC INC

Fedex Delivery Driver - Use Your Own Vehicle! (AVP) Job at SUREPASS LOGISTIC INC

 ...Description Job Description FedEx Driver Positions Now Open! Surepass...  ...packages with personal vehicle (SUV, PickUp or Van model less...  .... What You Need Your own reliable vehicle (SUV, mini-VAN...  ...community connection in every delivery. If youre motivated by moving... 

Manpower Group Inc.

General Production (Machine Operator) Job at Manpower Group Inc.

 ...rules and practices at all times. Count and stack finished product. Learn customer requirements and specifications by reading factory work orders, print cards, and design specifications. Utilize basic shop math. Accurately read tape measures, gauges and other...