About the Role
About the Role: We are seeking a highly skilled and autonomous Credentialing Specialist to manage the end-to-end provider payer enrollment process. Unlike roles that focus on data entry and handoffs, this position requires a subject matter expert who can independently navigate federal and state systems (PECOS, NPPES, Medicaid portals) and commercial payer applications from initial submission to final approval.
Key Responsibilities: End-to-End Execution:
1. Federal & State Enrollment (Medicare/Medicaid)
- Independently manage the complete Medicare enrollment process via PECOS, including the preparation and submission of CMS-855I, 855B, 855R, and DME applications.
- Manage the full NPI (Type 1 and Type 2) lifecycle through NPPES, including new registrations and updates.
- Dire...
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