Credentialing Specialist

The Credentialing Specialist oversees and manages payer credentialing and enrollment for Nurse Practitioners, ensuring compliance with Medicare, Medicaid, and commercial insurance requirements. This role involves maintaining provider records in systems like CAQH and PECOS, coordinating onboarding and offboarding processes, and resolving enrollment issues to prevent billing delays. The position serves as a liaison between insurance payers, healthcare providers, and internal departments to support accurate and timely reimbursement.