Credentialing Specialist

A company is looking for a Credentialing Specialist to support its provider network.

Key Responsibilities

Manage initial credentialing, re-credentialing, and payer enrollment for telehealth providers

Submit and track applications with government and commercial payers to ensure active participation

Lead and mentor credentialing staff while optimizing credentialing processes and compliance

Required Qualifications

High school diploma or equivalent required; Associate's or Bachelor's degree preferred

5-7 years of experience in healthcare credentialing and payer enrollment

Strong knowledge of government and commercial payer enrollment requirements

Familiarity with revenue cycle management processes

Proficiency with credentialing platforms and payer portals