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Understand the healthcare revenue cycle and billing workflow.
Understand the healthcare revenue cycle and billing workflow.
Explain the role of credentialing and provider enrollment in healthcare operations.
Explain the role of credentialing and provider enrollment in healthcare operations.
Manage CAQH profiles and credentialing requirements.
Navigate payer portals and enrollment systems.
Track enrollment applications and follow up with payers.
Perform provider maintenance, recredentialing, and revalidation activities.