Provider Enrollment/Credentialing Coordinator
- Collect and maintain provider credentials
- Complete CAQH credentialing for new providers
- Complete payer applications and recredentialing
- Contact payers for effective dates and identification numbers
- Enroll healthcare providers with health plans
- Ensure provider enrollment timeliness
- Maintain provider files for Medicaid and Medicare revalidation
- Monitor and follow up on provider application status
- Research and resolve provider enrollment issues
- Submit demographic and supporting documents to payers
- Support physician onboarding for credentialing and enrollment
- Track pending and completed application progress
- Update and maintain CAQH for existing providers