Mendocino Community Health Clinic, Inc.
Credentialing and Enrollment Specialist (On-site)
Mendocino Community Health Clinic, Inc., Ukiah, California, United States, 95482
Job Description
In this vital role, you will be responsible for ensuring accurate and timely credentialing of healthcare professionals and managing their enrollment processes with various insurance payors. Your expertise will help maintain compliance and support our commitment to providing access to high‑quality patient care.
We offer a collaborative work environment, opportunities for professional growth, and a comprehensive benefits package.
Key Responsibilities
Verify and maintain the credentials of healthcare professionals, including licenses, certifications, and educational qualifications
Manage the enrollment process of healthcare providers with multiple payor insurance plans
Ensure timely submission of credentialing and re‑credentialing applications
Communicate effectively with Credentialing Verification Organization, healthcare providers, insurance companies, and internal teams to resolve issues
Monitor and track credentialing and enrollment statuses to ensure compliance with regulatory requirements
Skills and Qualifications
Strong organizational and administrative skills with attention to detail
Excellent communication and interpersonal skills
Ability to manage multiple tasks and meet deadlines in a fast‑paced environment
Proficiency in Microsoft Office Suite
Proven experience in healthcare credentialing and insurance enrollment preferred
Knowledge of healthcare regulations and payor requirements preferred
Requirements
Required:
AA degree
1+ years' experience in a healthcare setting
Preferred:
Bachelor's degree in healthcare administration or related field
1+ years' experience in credentialing and enrollment
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We offer a collaborative work environment, opportunities for professional growth, and a comprehensive benefits package.
Key Responsibilities
Verify and maintain the credentials of healthcare professionals, including licenses, certifications, and educational qualifications
Manage the enrollment process of healthcare providers with multiple payor insurance plans
Ensure timely submission of credentialing and re‑credentialing applications
Communicate effectively with Credentialing Verification Organization, healthcare providers, insurance companies, and internal teams to resolve issues
Monitor and track credentialing and enrollment statuses to ensure compliance with regulatory requirements
Skills and Qualifications
Strong organizational and administrative skills with attention to detail
Excellent communication and interpersonal skills
Ability to manage multiple tasks and meet deadlines in a fast‑paced environment
Proficiency in Microsoft Office Suite
Proven experience in healthcare credentialing and insurance enrollment preferred
Knowledge of healthcare regulations and payor requirements preferred
Requirements
Required:
AA degree
1+ years' experience in a healthcare setting
Preferred:
Bachelor's degree in healthcare administration or related field
1+ years' experience in credentialing and enrollment
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