Senior Credentialing Specialist

Harris Computer • Edmond, OK

13d

About The Position

The Senior Credentialing Specialist is responsible for accurately completing payer enrollment and facility appointment applications for providers. This role provides support for new practice setups, tracks the progress of outstanding applications, and ensures enrollment completion by communicating with provider relations representatives. The specialist will maintain accurate and current information in the provider records, including the credentialing software database and electronic folders, and keep credential files organized. Additionally, this position offers research and administrative support for special projects and ensures HIPAA guidelines are respected by safeguarding protected health information. Other duties may be assigned as needed, and the job description is subject to reasonable adjustments based on evolving needs.

Requirements

• Minimum 3 years of experience in healthcare administration, credentialing, and provider enrollment (governmental and commercial payers) for facility-based providers.
• Minimum 1 year of experience in a healthcare revenue cycle setting.
• Familiarity with credentialing software (e.g., CAQH, CredentialStream).
• Strong written and verbal communication skills.
• Strong critical thinking skills.
• Excellent attention to detail.
• Client-service oriented.
• Highly effective team collaboration, accountable, and able to work with minimal supervision.
• Proficient in email management and Microsoft Word and Excel applications.
• Highly motivated self-starter.
• Organized, able to set priorities, and meet deadlines.
• Team player who supports department and company goals and policies.

Nice To Haves

• Preferably a college graduate or at least two years of college completed.
• Degrees or coursework related to the medical field are a plus.

Responsibilities

• Accurately complete payer enrollment and facility appointment applications for providers.
• Provides support and assistance for new practice setup as needed.
• Track progress of outstanding applications and communicate with provider relation representatives ensuring enrollment completion.
• Maintains accurate and current information in the provider records which includes credentialing software database and in provider electronic folders.
• Maintains credential files in an orderly and current manner.
• Provides research and administrative support for special projects.
• Ensures HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities.
• Other duties may be assigned from time to time.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree