Credentialing Specialist

Credentialing Specialist Location: Omaha, NE (Remote) Compensation: $60,000-$70,000/ Salary DOE Status: Full-Time, W2 Employee Schedule: Monday - Friday, 8 AM - 5 PM About the Role We are seeking a detail-oriented Healthcare Credentialing Specialist to manage provider credentialing, recredentialing, and enrollment processes. The ideal candidate will ensure healthcare providers maintain compliance with regulatory requirements and payer standards while supporting timely enrollment with insurance networks. Key Responsibilities Coordinate and manage provider credentialing and recredentialing activities. Prepare, submit, and track credentialing applications with Medicare, Medicaid, commercial payers, and regulatory agencies. Maintain accurate provider files, including licenses, certifications, malpractice insurance, and continuing education documentation. Monitor credential expiration dates and ensure timely renewals. Facilitate provider enrollment, updates, and terminations with insurance carriers. Respond to payer inquiries and resolve credentialing related issues. Maintain compliance with healthcare regulations, accreditation standards, and organizational policies. Generate credentialing reports and maintain confidential provider records. Assist with audits and support practice operations as needed. Qualifications High school diploma or equivalent required; associate or bachelor's degree preferred. 5+ years of healthcare credentialing experience. Must have Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM). Knowledge of Medicare, Medicaid, and commercial payer enrollment processes. Familiarity with CAQH, NPPES, PECOS, and provider enrollment systems. Strong understanding of healthcare compliance and credentialing standards. Excellent organizational, communication, and problem-solving skills. Proficiency in Microsoft Office and credentialing software systems. Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Perks & Benefits Career Longevity: Our average employee tenure is 5 years. Professional Development: Comprehensive onboarding, training, and growth opportunities. Meaningful Work: Directly impact a vulnerable population and provide person-centered care. Employee Experience: Fun perks, rewards, and recognition programs. Comprehensive Benefits Package: 22 days of PTO, Medical, Dental, and Vision insurance options, 401(k) with employer matching, Life, Accident, and Disability Insurance, Referral bonuses. Aegis Celebrates Diversity and is committed to creating an inclusive environment for all employees, underscored by a Zero Tolerance policy for discrimination. Aegis Healthcare is an equal opportunity employer, welcoming applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity, or any other characteristic protected by law. #J-18808-Ljbffr