Austin Regional Clinic: Multispecialty medical group providing primary and specialty healthcare services.
1+ YOEGathers and documents physician data for credentialing; investigates discrepancies; maintains provider records; performs credentialing and re-credentialing per NCQA standards.
6+ YOE6+ years in credentialing/payor enrollment or payor operations, experience negotiating national payor agreements, CAQH/PECOS/NPPES knowledge, direct report experience, and ability to resolve credentialing-related claim denials.