Payor Credentialing Specialist - Remote

Overview

Join knownwell, a weight-inclusive healthcare company that is transforming care delivery for patients with obesity. As a Payor Credentialing Specialist, you will play a vital role in ensuring provider coverage for our services.

In Short

• Manage credentialing and recredentialing processes for providers.
• Coordinate payer enrollment applications for timely processing.
• Maintain accurate credentialing records in compliance with regulations.
• Collaborate with various stakeholders to resolve credentialing issues.
• Track credentialing timelines and follow up on applications.
• Ensure compliance with NCQA, CMS, and payer regulations.
• Participate in audits and reporting related to credentialing.
• Support cross-functional teams with credentialing-related information.

Requirements

• 2+ years of experience in provider credentialing and payer enrollment.
• Strong knowledge of state licensing requirements and enrollment processes.
• Familiarity with NCQA and CMS credentialing standards.
• High attention to detail and accuracy.
• Excellent communication and interpersonal skills.
• Ability to manage multiple priorities in a fast-paced environment.

Benefits

• Dynamic work environment in a transformative healthcare company.
• Opportunity to impact patient care positively.
• Flexible working arrangements with a hybrid model.
• Supportive and collaborative team culture.