The Credentialing Specialist manages the enrollment and credentialing of practitioners across all states where the company operates. They are responsible for maintaining accurate provider files, facilitating payer linking applications, and ensuring compliance with government and commercial regulations.
The Insurance Follow-Up Specialist investigates and resolves insurance claim denials while partnering with payers to secure timely reimbursement. They also provide support to patients and internal teams while managing claim submissions through various payer portals.