Credentialing Specialist
Tulsa, OK
Category: Healthcare
Reference ID: 10080583
Shortcut: http://addisongroup.gosnaphop.com/HRESmP
Job Title: Credentialing Specialist
Location: Tulsa, OK
Industry: Healthcare
Pay: $23–$25/hour
Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.
About Our Client:
Addison Group is partnering with a growing healthcare organization seeking Credentialing Specialist to support its credentialing and provider enrollment team. This position is ideal for someone with healthcare credentialing experience who understands the full credentialing lifecycle and is comfortable working with provider documentation, payer applications, and credentialing databases.
Both onsite and remote candidates may be considered, with equipment provided for remote employees.
Key Responsibilities:
- Manage provider credentialing and recredentialing from initiation through completion.
- Complete and maintain provider enrollment applications with insurance payers and networks.
- Review provider files for accuracy, completeness, and compliance.
- Verify and maintain provider licenses, certifications, and other required credentials.
- Track credentialing expirables and follow up on outstanding documentation.
- Maintain accurate provider information within credentialing databases and systems.
- Utilize CAQH and other credentialing data sources to maintain current provider profiles.
- Assist with payer applications and enrollment processes.
- Monitor credentialing and enrollment status and follow up on outstanding applications.
- Communicate with providers, payers, and internal departments to resolve credentialing issues.
- Maintain organized and accurate documentation throughout the credentialing lifecycle.
Requirements:
- Healthcare credentialing and/or provider enrollment experience preferred.
- Behavioral health credentialing experience is a strong plus.
- Knowledge of credentialing and recredentialing processes.
- Familiarity with provider licenses, certifications, supervision requirements, and credentialing documentation.
- Experience with CAQH preferred.
- Knowledge of payer and network enrollment/application processes preferred.
- Oklahoma payer experience is highly preferred.
- Strong attention to detail and ability to manage multiple deadlines.
- Excellent organizational, follow-up, and communication skills.
Additional Details:
- Schedule: Monday–Friday, 8:00 AM–5:00 PM CST
- Start Date: ASAP
- Work Model: Onsite for training and then remote schedule - must be local to the Tulsa area
- Remote Equipment: Full equipment provided
- Environment: Professional business office / administrative healthcare setting
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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