Credentialing Specialist Lead - Long Island City, NY

Only for registered members Long Island City, NY, United States

3 days ago

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Job summary

Manage the full credentialing lifecycle for physicians NPs and PAs including Medicaid Medicare and commercial payer enrollments Empire BCBS Fidelis Aetna etc Review and verify provider documents such as medical licenses DEA board certifications malpractice coverage and CVs Prepare track and submit enrollment applications accurately and within payer timelines Monitor revalidation and re-credentialing schedules to ensure ongoing compliance Serve as the primary point of contact for escalated payer or provider inquiries Partner with internal billing and operations teams to ensure credentialing aligns with billing readiness Maintain credentialing logs dashboards and internal trackers for reporting purposes Assist in training and supporting new credentialing specialists ensuring quality consistency across workflows


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