Credentialing and Enrollment Specialist (On-site)

MCHC Health Centers • Ukiah, CA

92d

About The Position

In this vital role, you will be responsible for ensuring accurate and timely credentialing of healthcare professionals and managing their enrollment processes with various insurance payors. Your expertise will help maintain compliance and support our commitment to providing access to high-quality patient care.

Requirements

• Strong organizational and administrative skills with attention to detail
• Excellent communication and interpersonal skills
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment
• Proficiency in Microsoft Office Suite
• Proven experience in healthcare credentialing and insurance enrollment preferred
• Knowledge of healthcare regulations and payor requirements preferred

Nice To Haves

• Bachelor's degree in healthcare administration or related field
• 1+ years' experience in credentialing and enrollment

Responsibilities

• Verify and maintain the credentials of healthcare professionals, including licenses, certifications, and educational qualifications
• Manage the enrollment process of healthcare providers with multiple payor insurance plans
• Ensure timely submission of credentialing and re-credentialing applications
• Communicate effectively with Credentialing Verification Organization, healthcare providers, insurance companies, and internal teams to resolve issues
• Monitor and track credentialing and enrollment statuses to ensure compliance with regulatory requirements

Benefits

• Collaborative work environment
• Opportunities for professional growth
• Comprehensive benefits package

What This Job Offers

• Education Level: Associate degree
• Number of Employees: 251-500 employees