Credentialing Lead - RCM

Manage end-to-end provider credentialing & enrollment Handle initial, re-credentialing, revalidation, updates & terminations Coordinate Medicare, Medicaid, commercial & managed care payers Submit applications via CAQH, PECOS, NPPES, Availity, portals Maintain provider files, documentation & certifications Ensure compliance with NCQA, CMS & HIPAA Track applications, resolve issues & report via dashboards