Millennium Physician Group

Practitioner Mgmt Coord (US)

Millennium Physician Group  •  Cerritos, CA (Onsite)  •  7 hours ago
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Job Description

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The Credentialing & Enrollment Specialist is responsible for coordinating and maintaining provider credentialing and enrollment activities to ensure compliance with organizational, regulatory, and health plan requirements. This role manages initial credentialing and recredentialing inventories, supports provider enrollment processes, conducts outreach for missing documentation, communicates credentialing decisions, and serves as a liaison between providers, network partners, and internal stakeholders. The position requires strong organizational skills, attention to detail, proficiency in Microsoft Excel, and excellent written and verbal communication skills.

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How will you make an impact & Requirements

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  • Manage and maintain assigned initial credentialing and recredentialing inventories to ensure timely completion and compliance with established turnaround times.
  • Review credentialing and enrollment applications for completeness and accuracy.
  • Conduct outreach to providers, provider groups, and internal stakeholders to obtain missing or required documentation.
  • Track and monitor credentialing and enrollment status through various systems and reports.
  • Communicate credentialing approvals, denials, and status updates to providers and internal business partners.
  • Support provider enrollment activities with government and commercial payers.
  • Maintain accurate provider records, files, and databases.
  • Monitor shared departmental email inboxes and respond to inquiries in a timely and professional manner.
  • Collaborate with network partners, health plans, provider offices, delegated entities, and internal departments to resolve credentialing and enrollment issues.
  • Prepare and maintain Excel spreadsheets, tracking logs, and reports for operational and audit purposes.
  • Ensure compliance with NCQA, CMS, state regulatory, and organizational credentialing requirements.
  • Assist with credentialing audits, data validation, and special projects as assigned.
  • Escalate complex issues and aging inventory items as appropriate.

Required Education and Experience

  • High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
  • Minimum of 2 years of healthcare credentialing and/or provider enrollment experience.
  • Experience working with health plans, provider groups, or managed care organizations preferred.
  • Knowledge of provider credentialing, recredentialing, and enrollment processes.

Knowledge, Skills, and Abilities

  • Strong proficiency in Microsoft Excel, including sorting, filtering, reporting, and data management.
  • Excellent verbal and written communication skills.
  • Strong attention to detail and organizational skills.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Experience maintaining shared mailboxes and managing high-volume communications.
  • Ability to work independently and collaboratively with cross-functional teams.
  • Customer service oriented with strong problem-solving skills.
  • Knowledge of credentialing regulations, accreditation standards, and provider data management preferred.

Preferred Experience

  • Experience with NCQA credentialing standards.
  • Experience with provider enrollment systems, CAQH, PECOS, NPPES, Availity, and state Medicaid enrollment portals.
  • Experience supporting delegated credentialing or managed care network operations.

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Compensation Range:

$24.20

to

$43.56

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

Millennium Physician Group

About Millennium Physician Group

Founded in Port Charlotte, Florida, in 2008, and now headquartered in Fort Myers, Millennium Physician Group is one of the largest comprehensive physician-led groups with more than 900+ healthcare providers and 200+ locations now including FL, TX, NC, and GA.

Services center on primary care and are complemented by specialty care, walk-in centers, radiology and lab services, physical therapy, telehealth, wellness programs, home health, hospital care, and much more.

Nationally recognized as a leader in value-based care with consistently high levels of physician engagement, Millennium aims to create a genuinely connected healthcare experience for patients by providing a comprehensive and coordinated approach to healthcare… and be Your Connection to a Healthier Life.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Fort Myers, Florida
Year Founded
2008
Website
millenniumphysician.com
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