Credentialing And Provider Enrollment Specialist

Chaparralmedicalgroup

Pomona, CA, United States
Base: $47,800 - $66,650 usd annually; hourly: $24 ...
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3+ years provider credentialing experience
Knowledge of ncqa standards and payer requirements
Experience with md staff database software
** Chaparral Medical Group is seeking a Credentialing and Provider Enrollment Specialist to join their team in Pomona, CA. The role focuses on ensuring providers are credentialed and enrolled efficiently to maintain uninterrupted patient care, requiring a strong background in healthcare administration and provider enrollment. **

Job Summary

  • This role ensures providers are credentialed and enrolled quickly and accurately with health plans and hospitals to maintain uninterrupted patient care.
  • The team collaborates directly with IPAs, health plans, and hospitals to resolve complicated credentialing issues and monitor application timelines.
  • Chaparral Medical Group offers competitive benefits including medical, dental, vision, life insurance, and paid leaves for this in-person position.

Matching Summary

Match Score: 75

** Chaparral Medical Group is seeking a Credentialing and Provider Enrollment Specialist to join their team in Pomona, CA. The role focuses on ensuring providers are credentialed and enrolled efficiently to maintain uninterrupted patient care, requiring a strong background in healthcare administration and provider enrollment. **

Salary

Base: $47,800 - $66,650 USD annually; Hourly: $24 - $33 USD; Benefits: Medical, dental, vision, life insurance, paid leaves

Skills & Requirements

Must-have

  • 3+ years provider credentialing experience
  • Knowledge of NCQA standards and payer requirements
  • Experience with MD Staff database software

Nice-to-have

  • Strong problem-solving and critical thinking skills
  • Ability to manage multiple priorities efficiently
  • Passion for improving healthcare administrative processes

Key Requirements

  • Bachelor's degree in healthcare administration or related field
  • Minimum 3 years of experience in provider credentialing/enrollment
  • In-person work requirement in Pomona, CA

Work Rights

Not specified

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