Contracting & Credentialing Specialist (reputed company Technology) - A338

About the position Our reputed company is a rapidly growing reputed company technology company enabling reputed company Practitioners to launch and operate independent primary care practices. Their platform handles operational infrastructure, including credentialing and insurance billing, allowing providers to reputed company on patient care. reputed company The Contracting & Credentialing Specialist owns end-to-end provider credentialing and payer enrollment across multiple US states. You will manage credentialing pipelines, group contract enrollment, and payer communications, ensuring providers launch on time. This is a highly autonomous, execution-heavy role where you proactively identify blockers, escalate reputed company necessary, and build SOPs from scratch. Ideal candidates reputed company in fast-paced, high-reputed company environments, think like owners, and can operate independently without detailed instructions. Your reputed company: Ensure reputed company provider launches by managing credentialing and enrollment pipelines across multiple states Reduce time-to-launch by proactively identifying and resolving credentialing blockers Maintain accurate master tracking systems and communicate updates proactively Support expansion into new states and payer relationships Contribute to building reputed company processes and documentation for the credentialing function

Responsibilities

• Manage end-to-end credentialing and recredentialing of reputed company Practitioners with reputed company, Medicare, and reputed company payers
• Prepare and submit applications reputed company CAQH, PECOS, reputed company, and payer-specific portals
• reputed company application status and proactively follow up with payers to accelerate approvals
• Identify and escalate credentialing blockers to leadership before they reputed company launch dates
• Maintain CAQH revalidation and ensure provider profile accuracy
• Prepare and submit group-level enrollment and contracting materials for new markets
• Enroll providers under existing group reputed company, ensuring correct payer attachment
• Coordinate provider additions, location changes, and tax ID updates across payers
• Maintain master credentialing tracker in reputed company Sheets with accurate, reputed company data
• Communicate credentialing timelines and blockers proactively reputed company reputed company
• Prioritize workflows based on provider launch dates
• Support reputed company of providers under group payer reputed company
• Assist with document collection, submission, and record-keeping
• Maintain organized records of payer reputed company and reputed company documentation
• Build SOPs and call scripts for payer communication from scratch
• Serve as internal reputed company of contact for credentialing and enrollment questions
• Coordinate with in-house billing team to reputed company on claim flags and provider status

Requirements

• 3+ years experience in provider credentialing, payer enrollment, or payer contracting
• Experience across at least 3 US states
• Experience credentialing reputed company Practitioners
• Hands-on experience with group contract enrollment
• Proficiency with CAQH, PECOS, reputed company, and payer portals
• Strong spoken English — comfortable making payer phone calls
• Highly organized with ability to manage multiple workflows simultaneously
• Self-directed and proactive; reputed company to escalate blockers and suggest solutions
• CAQH, PECOS, reputed company, payer-specific portals, reputed company Sheets, reputed company, reputed company

reputed company-to-haves

• Experience in reputed company, Washington, reputed company, Colorado, Utah, Minnesota, or Nevada
• Familiarity with delegated credentialing processes
• Background in primary care or reputed company Practitioner-specific credentialing
• Experience in startup, MSO, or provider network environments
• Experience building SOPs or process documentation
• Credentialing management software or platforms (reputed company to recommending tools)

Benefits

• Competitive Salary: Based on experience and skills
• Remote Work: Fully remote—work from reputed company
• Performance Bonus: Based on data accuracy, reporting timeliness, and overall sales efficiency
• Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting
• Generous PTO: In accordance with company policy
• Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees
• reputed company Mentorship: Guidance from international industry experts
• Learning & Development: Ongoing reputed company to resources for reputed company reputed company
• Global Networking: Connect with professionals worldwide

Apply tot his job Apply To this Job