CREDENTIALING SPECIALIST @ CUREMD CREDENTIALING
CureMD Credentialing is urgently seeking motivated and experienced professionals for the position of Credentialing Specialist. This role is ideal for individuals with a background in the medical credentialing field who are looking for an opportunity to grow within a dynamic healthcare environment. The primary focus of the position is to manage provider enrollment and ensure that all payer processes are handled efficiently to support medical billing operations.
The successful candidate will be responsible for navigating various insurance portals and maintaining accurate records within industry-standard systems such as CAQH, PECOS, and NPPES. Strong communication and follow-up skills are essential to coordinate effectively with insurance providers and medical staff. This role offers a chance to build a strong career in healthcare administration and revenue cycle management while working with a dedicated team of professionals.
The successful candidate will be responsible for navigating various insurance portals and maintaining accurate records within industry-standard systems such as CAQH, PECOS, and NPPES. Strong communication and follow-up skills are essential to coordinate effectively with insurance providers and medical staff. This role offers a chance to build a strong career in healthcare administration and revenue cycle management while working with a dedicated team of professionals.
Key Requirements
6 months to 1 year of hands-on credentialing experience.
Good understanding of provider enrollment procedures.
Solid understanding of payer processes within healthcare.
Familiarity with the CAQH platform.
Familiarity with the PECOS system.
Familiarity with the NPPES registry.
Experience working with various insurance portals.
Good communication skills for professional correspondence.
Strong follow-up skills to track application statuses.
Ability to work effectively in a team-oriented environment.