Credentialing Specialist

Job Description

Job Description

Essential Duties and Responsibilities

• Fill out and process credentialing, contract, revalidation, and other payer documents for in-networking, renegotiations and routine upkeep.
• Assist with processing Letters of Intent (LOIs), applications, contracts, and credentialing for our company with new payers/health plans.
• Track credentialing and recredentialing deadlines.
• Monitor and track submissions and status changes with payers and update internal records.
• Communicate updates to existing payers.
• Ensure all documents for signature, including all credentials, amendments, and all material correspondence are escalated to the appropriate person timely.
• File all returned and contract from the payers/plans.
• Support executive leadership amendments and colleagues with special projects and perform other duties as assigned.

Preferred Qualifications

• 2+ years of Healthcare Credentialing and/or Payer Enrollment experience.
• College Degree in related field preferred, but not required.

Preferred Knowledge, Skills and Abilities

• Excellent verbal and written communication skills.
• Experience with Microsoft Office products, Salesforce is a plus.
• Proficient typing skills.
• Ability to focus for extended periods of time.

You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. to 5:00 p.m. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties and responsibilities may change at any time with or without notice.

I have received, reviewed, and fully understand this job description. I further understand that I am responsible for satisfactory execution of the essential functions described therein, under any and all conditions as described.

We are an equal opportunity employer and all qualified applicants will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by law.

By submitting your application and participating in the interview process, you acknowledge and consent that interviews, video meetings, phone screenings, and other recruiting interactions may be recorded for evaluation, training, quality assurance, compliance, and hiring purposes. These recordings may be reviewed by authorized company personnel and may be processed using artificial intelligence or automated tools to assist with notetaking, transcription, scheduling, candidate evaluation support, and other recruiting functions. No employment decision will be based on automated processing. By submitting an application and participating in the interview process, you acknowledge and consent to the recording and processing in accordance with applicable laws and company privacy policies.