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Provider Enrollment Specialist
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Full-time
- Description The Credentialing Specialist will be responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process.
- Liaise between the practitioners, health plans, hospitals, patient care facilities and all related entities regarding credentialing, malpractice coverage, and practitioner enrollment.
- Manage credentialing and re-credentialing processes along with completing applications for respective Commercial and Medicaid dental plans; contacting doctors for additional documentation if required; monitoring applications for timely approval and follow-up as needed.
- Responsible for all necessary updates including, but not limited to address changes, NPI updates, etc.
- 2-3 years experience in Managed Care credentialing and Medicaid enrollment.
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