Medical Staff Credentialing Auditor

A company is looking for a Medical Staff Credentialing Auditor - Payer Enrollment. Key Responsibilities Alert credentialing staff of errors and changes to ensure compliance with governing standards Conduct follow-up and research for additional information and maintain re-credentialing functions Process applications efficiently and communicate status to practitioners and interested parties Required Qualifications 3 years of auditing or quality analysis experience, including standard credentialing functions Associate Degree or relevant experience in lieu of a degree In-depth knowledge of payer enrollment processes, including commercial, Medicare, and Medicaid Strong understanding of state, federal, and accreditation standards related to credentialing Proficiency in credentialing software and systems

Apr 1, 2025 - 18:57

A company is looking for a Medical Staff Credentialing Auditor - Payer Enrollment. Key Responsibilities Alert credentialing staff of errors and changes to ensure compliance with governing standards Conduct follow-up and research for additional information and maintain re-credentialing functions Process applications efficiently and communicate status to practitioners and interested parties Required Qualifications 3 years of auditing or quality analysis experience, including standard credentialing functions Associate Degree or relevant experience in lieu of a degree In-depth knowledge of payer enrollment processes, including commercial, Medicare, and Medicaid Strong understanding of state, federal, and accreditation standards related to credentialing Proficiency in credentialing software and systems