Credentialing Support Specialist

Freedom House Recovery Center•Chapel Hill, NC

About The Position

The Credentialing & Contracting Specialist supports the agency's credentialing and payer contracting processes to ensure clinicians and programs are enrolled accurately and in a timely manner. This role focuses on Medicaid and commercial provider enrollment, facility credentialing, tracking revalidations, and maintaining accurate documentation. The position supports organizational growth, compliance, and timely billing.

Requirements

  • Experience with Medicaid and commercial provider enrollment
  • Experience with facility credentialing
  • Experience tracking revalidations
  • Experience maintaining accurate documentation
  • Familiarity with credentialing systems (CAQH, NCTracks, commercial payers)

Responsibilities

  • Complete payer enrollments and support onboarding of new licensed staff
  • Track and maintain licenses, certifications, and credentialing documents
  • Collaborate with Utilization Management to ensure staff and sites are properly credentialed
  • Maintain credentialing systems (CAQH, NCTracks, commercial payers) and ensure data accuracy
  • Follow up with payers on application status, resolve issues, and monitor progress
  • Communicate updates with leadership, billing, finance, and clinical teams
  • Track revalidation deadlines and ensure compliance
  • Maintain reliable attendance and adherence to schedule
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