Credentialing Specialist

Summary

Join Savoy Life, a healthcare startup, as a part-time, fully virtual Credentialing Support Specialist. You will manage and drive the credentialing and re-credentialing of healthcare providers with various health plans. Responsibilities include preparing and submitting enrollment applications, tracking application statuses, maintaining provider files, and resolving credentialing issues. This role requires extensive experience in healthcare provider credentialing and enrollment, knowledge of payer enrollment processes, and strong attention to detail. Proficiency in Microsoft Office and credentialing software is also necessary. The position offers a competitive hourly rate.

Requirements

• Extensive experience in healthcare & provider credentialing & enrollment
• Knowledge of payer enrollment processes, CAQH, NPPES, PECOS, and insurance verification
• Strong attention to detail and organizational skills
• Ability to act proactively and problem solving focused
• Excellent communication skills and excel at meet or exceeding deadlines
• Proficiency in Microsoft Office (Excel, Word, Outlook) and credentialing software

Responsibilities

• Manage and drive the initial credentialing and re-credentialing of healthcare providers with health plans and IPA groups (Medicare, Medicaid, Commercial plans, etc.) including identifying contacts to reach out to when barriers arise
• Prepare, review, and submit enrollment applications and supporting documentation
• Track and follow up on application statuses to ensure timely approval
• Maintain and update provider credentialing files in accordance with regulations
• Communicate with insurance companies and the internal team to resolve credentialing and enrollment issues
• Collect, review, and validate credentials for our clinical team including licenses, certifications, and education
• Ensure compliance with federal, state, and payer-specific requirements
• Maintain a credentialing database ensuring all required documents are up to date and complete

Preferred Qualifications

Healthcare billing experience

Benefits

Compensation: $25-$35/hour