- Oversee and audit credentialing processes for medical professionals, ensuring compliance with payer and healthcare industry standards. - Audit medical billing for accuracy, identify and resolve discrepancies, and ensure compliance with healthcare regulations. - Manage credentialing renewals, maintain accurate credentialing records, and follow up with medical providers to ensure timely completion of processes. - Collaborate with insurance companies, medical providers, and internal teams to resolve credentialing and billing issues. - A solid understanding of payer requirements are essential. - Proficiency in the following softwares: CLIO, Google Workspace, Microsoft Word, Excel, and Google Meet