- Manage provider credentialing and enrollment applications with commercial and government health plans
- Submit, track, and follow up on provider credentialing and payer enrollment applications
- Maintain accurate provider and enrollment information across internal systems and payer portals
- Monitor application statuses, identify missing information or documentation, and resolve enrollment issues
- Communicate with payers and providers to obtain required documentation and resolve credentialing discrepancies
- Conduct regular follow-ups with payers to ensure applications are progressing within expected timelines
- Research payer requirements, participation rules, and enrollment processes
- Keep detailed records of credentialing activity, effective dates, and payer communications
- Escalate complex credentialing or enrollment issues when needed
- Support the Credentialing team with special projects and process improvements
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