Credentialing & Licensing Specialist
About this role
Credentialing & Licensing Specialist
The Credentialing & Licensing Specialist is responsible for overseeing all initial and ongoing payer enrollment, credentialing, recredentialing, revalidation, and regulatory reporting activities necessary to establish and maintain the Company's participation and good standing with government-funded healthcare programs, managed care organizations, and commercial insurance payers. This position ensures compliance with all applicable federal, state, contractual, and payer-specific requirements; obtains, renews, and maintains all required business and operational licenses and registrations, including Board of Pharmacy, HME/DMEPOS, facility, business, and Secretary of State filings; and manages the implementation and ongoing maintenance of payer information within the Company's patient management and billing systems.
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