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Credentialing Specialist

Virtual Vocations Inc

To support the efficient operation of medical licensing and credentialing processes, the full-time remote Credentialing Specialist will manage the credentialing of providers with insurance payors and hospitals, maintain credentialing matrices, and facilitate onboarding and offboarding procedures. Key responsibilities Credential and re-credential LifeMD providers with insurance payors and maintain the CAQH Provider System Provide follow-up correspondence with insurance payors regarding credentialing matters and ensure accurate directory listings Conduct external research and verification of licensure, malpractice, and educational credentials for LifeMD providers Required qualifications Credentialing Certification and a Bachelor's Degree in Business Administration/Healthcare Administration or equivalent experience 2+ years of relevant experience in credentialing and administrative functions Certification as a Provider Credentialing Specialist (CPCS) or Certified Medical Services Management (CPMSM) Expertise in multi-state licensing and payor enrollment processes Knowledge of healthcare regulations and compliance requirements

Vacancy posted 2 days ago
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