Related skills
credentialing caqh urac ncqa cpcsπ Description
- Manage credentialing for clinical staff (psychiatrists, psychologists, therapists)
- Ensure timely credentialing applications, re-credentialing, and privileging with payors
- Collaborate with HR, Compliance, Clinical Operations to gather documentation
- Conduct verifications of education, training, licensure, certs, and references
- Maintain licensure changes from residency to full licensure
- Stay updated with credentialing regulations and accreditation standards
π― Requirements
- Bachelor's in Healthcare Admin or related; Master's preferred
- 4+ years credentialing in healthcare (mental health/pediatrics preferred)
- Knowledge of NCQA, URAC, and accrediting standards
- CAQH credentialing platform experience
- Excellent organization and attention to detail
- Proficient in credentialing software/databases; strong communication skills
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