Provider credentialing and enrolment specialist

Role & responsibilities

1. Collecting and Validating Provider Information
2. Completing and Submitting Applications
3. Managing Credentialing Status
4. CAQH Profile Management
5. Follow-Up on Pending Items
6. Credentialing Matrix and Reporting
7. Communication and Coordination
8. Process Improvement and Compliance

Preferred candidate profile

• Exceptional organizational skills with strong attention to detail.
• Ability to handle multiple priorities, deadlines, and tasks efficiently.
• Proficiency in credentialing software, payer portals, and Microsoft Office Suite (Excel, Word, Outlook).
• Strong written and verbal communication skills for interacting with providers and stakeholders.
• Problem-solving mindset with the ability to address credentialing roadblocks effectively.