Provider Credentialing Specialist Salary in Madera, CA

A Provider Credentialing Specialist is responsible for ensuring that healthcare providers are properly credentialed and enrolled with insurance companies and government agencies. They are responsible for verifying the qualifications and credentials of healthcare providers, including their education, training, licensure, and certifications. They also handle the application and re-credentialing process, ensuring that all necessary documentation is submitted and that providers are in compliance with all regulatory requirements. Additionally, they may be responsible for maintaining provider databases, tracking expirations and renewals, and communicating with providers and payers to resolve any credentialing issues. This role requires strong attention to detail, organizational skills, and knowledge of healthcare regulations and credentialing processes.