Credentialing Specialist

Job Summary

A company is looking for a RCM Credentialing Specialist / Payor Enrollment Specialist.

Key Responsibilities:

• Process provider applications and re-applications while maintaining high quality standards
• Renew medical licensure, hospital privileges, and other credentialing documents for providers
• Prepare updates and provide application support to team members and clients

Required Qualifications:

• Previous healthcare credentialing experience, including payor/provider enrollment and hospital credentialing
• Basic knowledge of insurance law and payor requirements
• Ability to utilize critical thinking skills in reviewing applications
• Highly organized with the ability to work independently in a fast-paced environment
• Proficient in Microsoft Office programs and tools