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Credentialing Specialist

Company: VirtualVocations
Location: Cleveland
Posted on: February 5, 2025

Job Description:

A company is looking for a Credentialing Specialist to manage provider credentialing processes and maintain compliance with regulatory standards.



Key Responsibilities

Develop relationships with providers and manage their credentialing requirements
Track and resolve credentialing issues while ensuring compliance with state regulations
Compile information for the Credentialing Committee and support the Dispute Resolution Process


Required Qualifications

Bachelor's Degree in a related field or 4 years of functional experience in lieu of a degree
Experience in handling escalated issues and resolving conflicts
Experience working with providers on credentialing policies and procedures
Ability to work independently and collaboratively in a team environment
Demonstrated ability to balance provider needs with corporate objectives

Keywords: VirtualVocations, Taylor , Credentialing Specialist, Other , Cleveland, Michigan

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