Provider Privileging Specialist
Company: VirtualVocations
Location: Oakland
Posted on: February 4, 2025
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Job Description:
A company is looking for a Provider Privileging Specialist
(Remote) to oversee the onboarding, credentialing, enrollment, and
submission of facility privileging applications.
Key Responsibilities:
Validate and maintain licensing, credentials, and insurance records
for medical professionals
Prepare facility applications for medical professionals seeking
privileging or reappointments
Coordinate managed care credentialing activities to ensure provider
participation status
Required Qualifications:
3+ years of credentialing experience required; NCQA, CPCS, or CPCSM
certification preferred
Associate's Degree and 3 years' experience in data collection or
analysis using complex database software systems
Experience with credentialing software and database management
Familiarity with PECOS, NPPES, NPDB, and compliance guidelines
A combination of education and experience may be considered
Keywords: VirtualVocations, Santa Rosa , Provider Privileging Specialist, Other , Oakland, California
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