Healthcare Credentialing & Provider Relations Specialist

Reno-Sparks Indian Colony • Reno, NV

5d • Onsite

About The Position

As the Healthcare Credentialing & Provider Relations Specialist, you'll keep provider credentialing, privileging, and payer enrollment accurate, current, and compliant for patient care at Reno-Sparks Tribal Health Center. This role exists to protect the integrity of provider records, support timely access to care, and ensure alignment with regulatory, accreditation, and payer standards.

Requirements

• High School Diploma/GED (required)
• 3+ years relevant credentialing experience (required)
• Familiarity with CAQH/Health Stream
• Strong organization skills
• Strong communication skills
• Strong analytical skills

Nice To Haves

• Associate's degree (preferred)

Responsibilities

• Processing initial and ongoing credentialing/re-credentialing files
• Verifying licensure, education, training, certifications, malpractice history, and references
• Maintaining provider data and tracking expirations
• Coordinating commercial payer contracts and enrollments with NextGen RCM Credentialing
• Reviewing provider contracts and job descriptions for completeness and compliance
• Maintaining revision/approval documentation
• Serving as a liaison to support TMFQHC written care coordination agreements (WCCA)

Benefits

• Medical: Hometown Health PPO
• Dental: Lincoln Dental
• Vision: Lincoln Vision
• Life Insurance
• Paid Time Off: Annual leave accrues 4 hours per pay period (usable after probation; increases after 5 years per policy)
• Sick Leave: Accrues 4 hours per pay period (available immediately)
• Paid Holidays: 13 paid holidays per year
• 401(k): Eligible for employee contributions after 60 days; discretionary RSIC contribution; employer matching begins after 1 year of full-time employment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED