Job Description

Role Description

As a Credentialing Specialist, you will:

• Manage end-to-end credentialing and re-credentialing processes, including application intake, submission, tracking, and payer follow-up.
• Ensure compliance with state, federal, and payer requirements while maintaining accurate provider records in CAQH, NPPES, and internal systems.
• Collaborate cross-functionally to resolve discrepancies, monitor credential status, and support efficient provider onboarding and operations.

Qualifications

• Bachelor’s degree preferred with experience in healthcare credentialing, provider enrollment, or similar administrative roles.
• Understanding of credentialing processes, payer requirements, and regulatory standards; experience with CAQH, NPPES, and HIPAA environments preferred.
• Proficiency with Microsoft Office, G Suite, and project management tools (e.g., Asana); database management and reporting experience a plus.

Requirements

• Candidates must reside in one of the following states: AZ, CA, CO, FL, GA, OR, TX, UT, TN, WA.

Benefits

• Build your career with clear growth opportunities, professional development support, and competitive wages.
• Enjoy paid vacation and holidays, plus cell phone stipends to support your day-to-day work.
• Medical, dental, vision, and life insurance, and 401(k) program with company match.
• Join a collaborative, team-based environment grounded in strong professional support and development.

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