Credentialing Analyst

Job Summary

Managing credentialing and enrollment processes for healthcare providers, the full-time Credentialing & Enrollment Analyst I will collaborate with providers and insurance entities to ensure compliance and timely submissions while working remotely.

Key responsibilities

• Communicate with new providers to obtain necessary documentation for credentialing and enrollment
• Maintain and update credentialing and enrollment portals, ensuring active medical licensure and board certification
• Assist in resolving claims issues related to provider enrollment while completing re-credentialing and revalidation requests

Required qualifications

• High School Diploma or equivalent; Associate's or Bachelor's degree in a related field preferred
• 2-3 years of experience in provider enrollment, credentialing, or revenue cycle operations
• Knowledge of healthcare regulations and payor enrollment processes
• Proficiency in MS Office and various payor portals such as Availity and CAQH
• Ability to work independently and manage multiple tasks with minimal supervision