Senior Credentialing Specialist

Responsibilities

• Onboard new providers and ensure all checklist items are completed and up to date
• Manage credentialing with assigned payers, including tracking and follow-up
• Enroll providers and offices with State Medicaid agencies and insurance companies
• Cookordinate new office openings and update payer/internal rosters
• Maintain accurate credentialing records
• Submit specialty contract requests and upload fee schedules
• Complete recredentialing every three years and ensure timely submissions
• Review and update payer rosters for accuracy
• Communicate credentialing updates and special requests to internal teams
• Support the development of SOPs and assist the RCM team with credentialing-related issues

Qualifications

• 3–5 years of credentialing and enrollment experience required
• Proficient in Microsoft Office and credentialing databases
• Strong time management, multitasking, and organizational skills
• Knowledge of administrative processes and business operations
• Excellent written communication, grammar, and proofreading skills
• Experience producing professional documents and managing information systems

Benefits

We offer a comprehensive benefits package designed to support you in every aspect of your life, including:

• Medical and Vision Insurance: Eligible starting the first month after joining
• In-house Dental Coverage: Enjoy this benefit with $0 premium
• 401(k) Plan with Company Match: Help plan for your future with our matching program
• Generous Paid Time Off and Holidays: Take the time you need to relax and recharge
• Employee Referral Program: Earn rewards for bringing talented individuals to our team
• Big savings, big perks: Enjoy exclusive discounts on everything from restaurants and travel to movies and more with our employee discount program
• Pet Insurance: Understand the importance of furry family members too
• Cutting-edge Technology and Training: Provide the tools and resources you need to excel in your role
• Life and Disability Insurance Options: Protect yourself and your loved ones with our coverage options