- Prepare, compile, and process applications for initial credentialing and re-credentialing with healthcare payers and networks
- Conduct primary source verifications of licenses, certifications, education, work history, and malpractice history
- Maintain accurate credentialing files and logs; update provider data in credentialing systems
- Track credentialing progress and ensure timely submission and follow-up
- Communicate with providers, payers, and internal teams regarding application status and documentation needs
- Support preparation and review of provider contracts and amendments
- Enter and track contract information in internal systems
- Coordinate with payers and legal/compliance teams to ensure contract requirements are met
- Assist with contract renewals and compliance reporting
- Maintain documentation and support analysis of contracting workflows
Company Description
Stanford Medical Billing Inc. is a premiere medical billing and revenue cycle management company with over 35 years of experience, servicing medical practices in the central valley. We are a customer-focused, equal opportunity employer, committed to building a diverse workforce and take pride in exceeding the needs of our clients.