Credentialing Specialist (Hybrid)
Core
Create and maintain credentialing and renewal information for Workit providers, ensuring accuracy in payor directories and clinic licensure.
Role type
Credentialing Specialist
Builds
Provider credentialing data and payor directory listings
Domain
Healthcare revenue cycle / Telemedicine
Required skills
HIPAA compliance, CAQH management, payer portal navigation, data verification, application processing, database maintenance
Preferred skills
Billing experience, collaboration, organization
Technologies
CAQH, payer portals, credentialing databases
Responsibilities
Follow and maintain credentialing and clinic licensure policies; ensure reports on provider credentialing status are up-to-date; process applications and verify information; complete revalidation requests issued by payers; monitor staff credentials and licenses; resolve denials or authorization issues with billing staff.
Seniority
Mid-level, individual contributor