Provider Credentialing & Accounts Receivable Specialist
CoreLifeLinthicum, MD, USjob_description.job_card.30_days_ago
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job_description.job_card.job_descriptionPrepare and submit provider enrollment applications and supporting documentation across multiple payers. Maintain accurate and compliant records for licenses, certifications, and insurance contracts. Track and process new enrollments, revalidations, ERN / ERA submissions, and roster updates. Coordinate with HR, providers, and billing teams to streamline onboarding and credentialing processes. Manage CAQH profiles and update PECOS and NPPES as needed. Maintain HIPAA-compliant credentialing files and communication with payer credentialing teams. Review and manage aging A / R > Address denied claims, rework errors, file appeals, and communicate with payers as needed. Monitor payer reimbursements against contracted rates. Provide coverage and support across the team during absences or high-volume periods. High school diploma or equivalent. Minimum 3 years of experience in provider credentialing and / or medical billing. Experience with PECOS and ePREP. Knowledge of payer requirements and CPT / ICD-10 coding. Associate or Bachelor’s degree in healthcare, business, or related field. 5+ years of experience in credentialing and A / R management. Experience with EPIC and NextGen. Familiarity with NCQA standards and processes. 🧠 Skills & Abilities Exceptional attention to detail and organizational skills. Ability to multitask, prioritize, and work independently. Strong problem-solving and critical thinking capabilities. Excellent communication and interpersonal skills. Proficiency with Microsoft Excel and payer web portals. Commitment to confidentiality and HIPAA compliance. 💙 Why CoreLife? At CoreLife, we are committed to delivering exceptional patient outcomes and creating a supportive, respectful environment for our team. You’ll be part of an innovative, growing company dedicated to transforming healthcare through integrated, whole-person care. Powered by JazzHR
📢 Now Hiring :
- Provider Credentialing & Accounts Receivable Specialist Location : Linthicum, MD Reports To : Vice President, RCM Operations Employment Type : Full-Time CoreLife is seeking a detail-oriented and highly motivated Provider Credentialing & Accounts Receivable Specialist to join our team.
- This dual-function role is critical in ensuring accurate provider enrollment, maintaining credentialing compliance, and supporting revenue cycle operations.
If you have a strong background in medical credentialing, payer enrollment, and A / R management—and enjoy working in a fast-paced, mission-driven environment—we’d love to hear from you! 🔍 Key Responsibilities Credentialing & Enrollment :
Accounts Receivable Management :
30 days, ensuring timely follow-up and maximum reimbursement.
Work within EPIC and NextGen systems, and utilize EMR tools for charge entry and collections tracking. 📚 Qualifications Required :
Preferred :
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Credentialing Specialist • Linthicum, MD, US
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