Credentialing Specialist

ABOUT THE ROLE
The Credentialing Specialist is responsible for credentialing, enrollment of practitioners reporting for all states and jurisdictions in IVX Health operates. The Credentialing Specialist prepares, tracks, and submits licensure, certification and credentialing applications to various government and commercial payor offices. The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by commercial payers, Medicare, and Medicaid.

RESPONSIBILITIES

• Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
• Credential new providers and re-credential current providers with clinics at which they hold staff privileges
• Responsible for facilitating the completion of all payer practitioner linking applications
• Manage and maintain contracts, licenses and credentials for all current providers
• Perform regular communication with payers including but not limited to receiving quarterly fee schedules, updates, and any additional relevan