Credentialing Specialist

Job Summary

To support payer enrollment for healthcare providers, the remote Credentialing and Enrollment Specialist will prepare and submit applications, maintain provider records, and ensure compliance with customer requirements on a contract basis.

Key responsibilities:

• Prepare and submit credentialing and payer enrollment applications for various healthcare providers
• Review and confirm completeness of provider documentation before submission
• Track application status and coordinate with stakeholders on any issues or delays

Required qualifications:

• Experience with payer enrollment and credentialing, preferably in a radiology department
• Hands-on experience managing CAQH profiles and using credentialing platforms
• Experience working in healthcare settings such as health systems and outpatient clinics
• Organized and dependable self-starter with strong attention to detail