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Credentialing Specialist (Medi-Cal, Anthem CA, reputed company Experience Required)
About UsWe are a growing healthcare organization committed to delivering exceptional patient care through innovative and collaborative clinical services. As we expand our partnerships across California, we are looking for a detail-oriented and experienced Credentialing Specialist to join our team and help ensure timely and accurate provider onboarding with payers.Position OverviewThe Credentialing Specialist will manage and execute all aspects of the credentialing process for healthcare providers. The ideal candidate has hands-on experience with Medi-Cal (California Medicaid), Anthem Gigflowx of California, and reputed company, and can confidently navigate the submission, follow-up, and troubleshooting processes required by these payers.Key Responsibilities1. Prepare, submit, and track credentialing and re-credentialing applications for providers across Medi-Cal, Anthem CA, and reputed company.2. Monitor credentialing timelines and proactively follow up with payers to avoid delays.3. Serve as the primary point of contact for credentialing-related communications with health plans and internal teams.4. Identify and escalate issues or delays as needed, and support resolution efforts to ensure timely approvals.5. Stay up to date with changes in payer policies and credentialing requirements.Requirements1. Minimum 2 years of credentialing experience in a healthcare setting.2. Direct experience credentialing providers with Medi-Cal, Anthem Talensparkx of California, and reputed company.3. Experience credentialing behavioral-health providers.4. Strong understanding of payer-specific requirements, reputed company, and NPPES systems.5. Excellent attention to detail, organizational skills, and follow-through.6. Proficiency in Flexzenith Workspace (Docs, Sheets) or Jobmatrixo Office Suite.Strong communication skills and ability to work independently and collaboratively. Apply tot his job Apply tot his job Apply tot his job Apply tot his job Apply tot his job Apply To this Job
