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Credentialing Specialist (Fully Remote)
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Job Description
- Req#: 200918
Employer Industry: Behavioral Health Services
Why consider this job opportunity:
- Entry-level position with opportunities for growth within healthcare operations
- Opportunity to work remotely, offering flexibility in your work environment
- Supportive and organized work culture focused on detail and accuracy
- Play a vital role in ensuring compliance and enrollment for healthcare providers
- Engage in meaningful work that supports clinicians and patient care
What to Expect (Job Responsibilities):
- Complete and maintain CAQH and NPI profile updates for new clinicians
- Support internal credentialing processes, including license verification and collection of required documents
- Submit credentialing and enrollment applications to Medicare, Medicaid, and commercial payers
- Maintain accurate provider data across Salesforce and Excel-based tracking systems
- Conduct roster audits and reconcile discrepancies with payer directories
What is Required (Qualifications):
- Bachelor’s degree or equivalent relevant experience
- Strong organizational and time management skills
- Excellent written communication and professional follow-up skills
- Proficiency in Microsoft Excel
- Ability to work independently in a fully remote environment
How to Stand Out (Preferred Qualifications):
- Familiarity with healthcare terminology (CAQH, NPI, PECOS, Medicare, Medicaid)
- Experience navigating multiple online portals simultaneously
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