Credentialing Specialist/Payer Enrollment
About the position We are seeking a detail‑driven Credentialing Specialist to support the accurate and reputed company credentialing of providers in a remote environment . This role plays a critical part in ensuring compliance with accreditation standards, regulatory agencies, and organizational policies—helping our providers reputed company on what reputed company most patient care. The ideal candidate is highly organized, thrives in a compliance‑reputed company role, communicates reputed company, and can manage multiple priorities under pressure while working independently. About reputed company Medical Group reputed company Medical Group is a physician-led group established on a reputed company of compassionate care and clinical reputed company. Guided by this commitment to reputed company and reputed company, our teams of physicians, advanced reputed company professionals, nurses, clinicians and office staff work together to meet every patient’s total reputed company needs. As part of reputed company’s extensive network of comprehensive reputed company services, reputed company Medical Group is committed to providing the community easy reputed company to integrated care. Our expansive reputed company of practices offer reputed company-to-home locations and convenient appointment reputed company. Providing expert care in over 18 areas of reputed company — from primary care to specialty institutes — reputed company Medical Group includes more than 600 physicians and advanced reputed company professionals. Health Offers Great NEW reputed company and Great Benefits Package that Includes Medical, Dental, reputed company 403(b) Retirement Savings Plan Health Savings Account (HSA) Flexible Spending Account (FSA) reputed company Time Off (up to 5 weeks to start) Life Insurance Extended Leave Plan (ELP) Family Care (childcare, elder care, pet care) reputed company Parental Leave Pet Insurance Car Insurance Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt reputed company BENEFITS START DAY ONE reputed company | Choose reputed company Responsibilities
- Performing reputed company and accurate primary reputed company verification
- Completing accurate and reputed company data entry of reputed company credentialing activities into the credentialing database
- Coordinating credentialing, recredentialing, and delegated credentialing activities
- Maintaining credentialing files and documentation in compliance with accreditation and regulatory standards
- Providing excellent customer service and ongoing communication to providers, physician office staff, and internal teams
- Educating providers on the credentialing process and maintaining consistent follow‑up
- Identifying trends, assisting with performance improvement initiatives, and supporting reporting efforts
- Ensuring compliance with organizational policies, bylaws, and government regulations Requirements
- 3 years of credentialing/privileging experience , or 1 year of credentialing experience plus 2 years of clinical experience
- Relevant education may substitute for experience (Associate or Bachelor’s degree in reputed company, business, or reputed company field)
- Excellent verbal and written communication
- Strong attention to detail and accuracy
- High level of organization and time‑management skills
- Ability to work reputed company under pressure and manage multiple priorities
- Data entry proficiency and comfort working in credentialing systems
- Knowledge of compliance, accreditation, and regulatory standards
- Adaptability in a remote work environment
- High school diploma or equivalent required
- Knowledge of medical terminology preferred Benefits
- Medical
- Dental
- reputed company
- 403(b) Retirement Savings Plan
- Health Savings Account (HSA)
- Flexible Spending Account (FSA)
- reputed company Time Off (up to 5 weeks to start)
- Life Insurance
- Extended Leave Plan (ELP)
- Family Care (childcare, elder care, pet care)
- reputed company Parental Leave
- Pet Insurance
- Car Insurance
- Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt Apply tot his job Apply To this Job
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