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Florida Credentialing Specialist

Company: VirtualVocations
Location: Portland
Posted on: May 3, 2025

Job Description:

A company is looking for a Credentialing/Payor Enrollment Specialist to manage the payor enrollment process and support clinical onboarding.
Key Responsibilities

Compile and maintain accurate data for clinical providers and manage credentialing documentation
Partner with HR to ensure new providers are enrolled in health plans before their start date and assist with Medicaid and Medicare applications
Collaborate with vendors and drive process improvements to enhance payor enrollment efficiency

Required Qualifications

Minimum of three years of relevant credentialing/payor enrollment experience
Strong knowledge of Medicaid, Medicare, and private payer insurance systems
Highly organized with the ability to multitask and manage competing priorities
Ability to work under pressure in a fast-paced environment
Proactive in seeking and recommending new technologies and tools for efficiency

Keywords: VirtualVocations, Haverhill , Florida Credentialing Specialist, Other , Portland, Massachusetts

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