Credentialing & Enrollment Specialist - Remote

Overview

The Credentialing & Enrollment Specialist will be the primary contact for the Enrollment Department, managing credentialing and re-credentialing processes for providers in Privia’s medical group.

In Short

• Assures compliance with health plan requirements related to provider certification and credentialing.
• Reviews and streamlines onboarding processes using automation.
• Works with technical staff to develop tools for auditing and reporting.
• Oversees special projects related to health plan requirements.
• Interacts with management and physician office staff to accomplish credentialing.
• Maintains up-to-date data for each provider in credentialing databases.
• Ensures timely renewal of licenses and certifications.
• Coordinates and prepares reports on credentialing statistics.
• Maintains confidentiality of provider information.
• Other duties as assigned.

Requirements

• 2+ years’ experience in managed care credentialing or medical staff services.
• Demonstrated problem-solving and analytical skills.
• Ability to function independently and manage multiple projects.
• Must comply with HIPAA rules and regulations.

Benefits

• Base salary range of $45,000.00 - $55,000.00.
• Eligible for an annual bonus targeted at 10%.
• Includes medical, dental, vision, and life insurance.
• 401K and paid time off.
• Wellness programs available.