Position Summary:
- Managing credentialing and payer enrollment applications for commercial, Medicare, and Medicaid.
- Coordinating initial credentialing, recredentialing, and provider data maintenance processes.
- Assisting with onboarding new providers, including coordinating credentialing timelines and payer enrollments.
Qualifications & Requirements:
- Minimum of 2 years of experience in provider credentialing, payer enrollment, or healthcare administration.
- Working knowledge of CAQH, PECOS, NPPES, and payer enrollment portals.
- Strong attention to detail and organizational skills.
Performance Expectations:
- Maintaining complete, accurate, and organized credentialing and enrollment records.
- Managing multiple provider enrollment timelines and deadlines effectively.
- Proactively identifying and resolving credentialing or enrollment delays.
Modena Health
Modena Health (MH) and Modena Allergy & Asthma (MAA) are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona, and ambitious plans for national expansion. They are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.