Credentialing Specialist - Remote

Overview

The Credentialing Specialist is responsible for managing the credentialing and enrollment processes for VA and Medicaid providers. This role ensures compliance with state-specific requirements, maintains accurate documentation, and serves as a liaison between clients, networks, and regulatory bodies. The ideal candidate is detail-oriented, highly organized, and knowledgeable about healthcare compliance.

In Short

• Manage the initial credentialing and re-credentialing process for VA and Medicaid providers.
• Work closely with contact managers to identify network needs.
• Educate clients on the credentialing process.
• Maintain accurate records of provider credentials.
• Ensure compliance with state-specific regulations.
• Prepare detailed reports on credentialing activities.
• Address and resolve issues in the credentialing process.

Requirements

• Strong understanding of credentialing processes.
• Excellent attention to detail.
• Exceptional organizational skills.
• Strong communication skills.
• Solid knowledge of healthcare compliance regulations.
• Strong problem-solving abilities.
• Proficiency in credentialing software and Microsoft Office Suite.
• Effective time management skills.

Benefits

• Competitive salary and comprehensive benefits package.
• Opportunities for professional growth.
• Flexible work arrangements, including remote work options.
• Health, dental, and vision insurance.
• 401(k) plan with company matching.
• Company will provide laptop and other needed equipment.