Related skills
caqh urac ncqa cpcs cmss📋 Description
- Manage credentialing for clinical staff across providers.
- Ensure timely, accurate credentialing and privileging with payors.
- Collaborate with HR, Compliance, Clinical Ops to collect docs.
- Conduct verifications for education, licensure, certs, and references.
- Maintain credentialing records with privacy and confidentiality.
- Liaise with external credentialing entities and manage payor contracts.
🎯 Requirements
- Bachelor's degree in Healthcare Administration, Business Administration, or related field (Master's preferred).
- 4+ years credentialing in healthcare; mental health/pediatrics preferred.
- Knowledge of NCQA, URAC, and accrediting bodies.
- Knowledge of CAQH credentialing platform.
- Proficiency with credentialing software and databases.
- CMSS or CPCS certification a plus.
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