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 Credentialing Coordinator

Details
Country: USA
Location: NY Queens
Total applied: 5

Relevant Work Experience: 2+ to 5 Years
Career Level: Experienced (Non-Manager)
Education Level: Bachelor's Degree
Job Type: Employee
Job Status: Full Time

Credentialing Coordinator

Seeking a candidate with enrollment, managed care and/or hospital medical staff experience. Maintain credentialing processes, including payer/vendor application processing and enrollment. Ensure integrity of data. Interpret complex payer rules and regulations and resolve issues. Act as liaison with billers and departments. Routinely verifies credentialing and re-credentialing application status with insurance contacts.

Qualifications: College degree required.
2-3 years related experience with physician credentialing essential.
Experience with vendors, insurance companies; knowledge of NCQA credentialing requirements. Proficiency with Microsoft Office, Internet, database programs and Cactus a plus.

- Apply for Credentialing Coordinator

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