A company is looking for a Credentialing Specialist to manage provider credentialing in an urgent care / primary care setting.
Key Responsibilities
Enroll providers with payors and manage contracting and re-credentialing processes
Collect and confirm provider information for reporting to accrediting and licensing agencies
Coordinate with the billing department to address credentialing issues and ensure compliance
Required Qualifications
Associate Degree preferred
Certified Professional Biller or Certified Professional Coder preferred
2+ years' experience in a medical office, particularly in claims, billing, insurance, and medical records
2 years of credentialing experience required
Knowledge of healthcare insurance rules and RHC credentialing guidelines
Credentialing Specialist • Fremont, California, United States