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Credentialing Specialist
A company is looking for a Credentialing Specialist I to perform credentialing and related activities based on plan specifications. Key Responsibilities Perform credentialing and re-credentialing activities in compliance with NCQA standards Communicate professionally with physicians, office managers, and providers to secure necessary information Process, track, and file credentialing applications within established standards Required Qualifications Associate's degree or high school diploma/equivalent with 1+ years of relevant experience Experience in data entry, customer service, medical office, or healthcare operations Preferably experience in a managed care or insurance environment
A company is looking for a Credentialing Specialist I to perform credentialing and related activities based on plan specifications.
Key Responsibilities
Perform credentialing and re-credentialing activities in compliance with NCQA standards
Communicate professionally with physicians, office managers, and providers to secure necessary information
Process, track, and file credentialing applications within established standards
Required Qualifications
Associate's degree or high school diploma/equivalent with 1+ years of relevant experience
Experience in data entry, customer service, medical office, or healthcare operations
Preferably experience in a managed care or insurance environment