Senior Credentialing Specialist
Core
Manage payer enrollment and facility appointment applications for healthcare providers while maintaining accurate credential files and supporting new practice setups.
Role type
Senior Credentialing Specialist
Builds
Provider enrollment status and compliant credentialing records
Domain
Healthcare administration and provider relations
Required skills
Payer enrollment management, Credentialing software proficiency, Provider record maintenance, HIPAA compliance, Application tracking, Healthcare revenue cycle knowledge
Preferred skills
Medical field coursework, Advanced Microsoft Office skills
Responsibilities
Complete payer enrollment and facility appointment applications, Track progress of outstanding applications and communicate with provider relations, Maintain accurate and current information in provider records and credential files, Provide research and administrative support for special projects, Ensure HIPAA guidelines are respected by safeguarding protected health information
Seniority
Senior, hands-on IC