Provider Credentialing Specialist II

Manage credentialing and re-credentialing activities to ensure all ZoomCare provider files, both new and existing, are accurate and up to date. Maintain credentialing files, ensuring all licenses and certificates are current and completed on time with thorough follow-up. Review provider credentialing applications, including new applicant credentialing, re-credentialing, and ongoing maintenance of credentials. Monitor, track, and report credentialing information on a daily, weekly, and monthly basis. Follow up with providers and insurance to ensure all credentialing applications are received, processed, and files are accurate and current. Enroll providers in Medicare using the Medicare Identity and Access System and PECOS. Deliver excellent customer service by communicating effectively with the team, solving problems, and organizing projects. Analyze data with strong attention to detail and accuracy, prioritizing tasks to work efficiently.