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Payer Credentialing Specialist - Staff Credentialing

Company

Christus Health

Location

Santa Fe, United States

Type

Full-time

Summary:


Provides assistance and support to the Credentialing Coordinator with the day to day operations and functions of payer enrollment. 

Responsibilities:

  • Assists in the management and successful implementation of the entire payer enrollment credentialing and re-credentialing process for all providers participating at Payer Enrollment at CHRISTUS St. Vincent. Assists with maintaining timelines for enrollment/credentialing, communicates with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of confidentiality for all matters pertaining to provider credentials.
  • Develops effective working relationships with 3rd party payers and other outside entities involved in credentialing process.
  • Tracks expiration data for all licensure, certificates, insurance, etc. for employed providers and ensures that items are current.
  • Maintains current credentialing/re...
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