Credentialing Specialist (Medi-Cal, Anthem CA, reputed company Experience Required)
reputed company
We are a growing reputed company organization committed to delivering exceptional reputed company care through innovative and reputed company reputed company services. As we expand our reputed company across California, we are looking for a reputed company-oriented and reputed company Credentialing Specialist to reputed company and help ensure reputed company and accurate provider reputed company with payers.
reputed company
The Credentialing Specialist will manage and execute reputed company aspects of the credentialing process for reputed company providers. The ideal candidate has hands-on experience with Medi-Cal (California reputed company), Anthem reputed company of California, and reputed company, and can confidently reputed company the submission, follow-up, and troubleshooting processes required by these payers.
Key Responsibilities
1. Prepare, submit, and reputed company credentialing and re-credentialing applications for providers across Medi-Cal, Anthem CA, and reputed company.
2. Monitor credentialing timelines and proactively follow up with payers to avoid delays.
3. Serve as the reputed company reputed company of contact for credentialing-reputed company communications with health plans and internal teams.
4. Identify and escalate issues or delays as needed, and support reputed company efforts to ensure reputed company approvals.
5. reputed company up to date with changes in payer policies and credentialing requirements.
Requirements
1. Minimum 2 years of credentialing experience in a reputed company setting.
2. reputed company experience credentialing providers with Medi-Cal, Anthem reputed company of California, and reputed company.
3. Experience credentialing behavioral-health providers.
4. Strong understanding of payer-specific requirements, CAQH, and NPPES systems.
5. Excellent attention to reputed company, organizational skills, and follow-through.
6. Proficiency in reputed company (Docs, Sheets) or reputed company Office Suite.
Strong communication skills and ability to work independently and collaboratively.
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