Credentialing Specialist

Job Summary

A company is looking for a Credentialing & Enrollment Specialist.

Key Responsibilities

• Submit and track payer enrollment applications and manage enrollment processes
• Maintain provider credentials, licenses, and ensure accurate representation on payer directories
• Proactively follow up with payers to prevent delays and manage recredentialing cycles

Required Qualifications

• Minimum 2 years of hands-on credentialing or payer enrollment experience
• Direct experience with CAQH and working in payer portals
• Understanding of Medicare enrollment (PECOS)
• Experience resolving payer discrepancies
• Strong organizational skills and ability to work independently in a remote environment