* Contact insurance payers to verify credentialing and enrollment status.
* Follow up on pending credentialing and re-credentialing applications.
* Communicate with providers regarding missing documents and application
updates.
* Resolve credentialing-related issues through phone calls and emails.
* Maintain detailed call logs and updates in the credentialing system.
* Coordinate with insurance representatives to expedite applications.
* Process provider credentialing and enrollment applications.
* Complete CAQH profile updates and attestations.
* Prepare, submit, and track payer enrollment requests.
* Maintain provider files, licenses, certifications, and supporting documents.
* Monitor credentialing expirations and ensure timely renewals.
* Handle email communication with providers and payers.
* Update credentialing databases and generate status reports.
REQUIRED SKILLS
* Knowledge of US Healthcare Credentialing and Provider Enrollment.
* Experience with CAQH, Medicare, Medicaid, and Commercial Payers.
* Robust communication and interpersonal skills.
* Good analytical and problem-solving abilities.
* Proficiency in MS Office, especially Excel.
* Ability to manage multiple tasks and meet deadlines.
* Excellent documentation and follow-up skills.