Credentialing & Enrollment Specialist - Managed Care

Cardinal Health Canada Inc.; United States; On-site; USD 25,000 - 41,000; Full time

Benefits offered by this job

Medical coverage

Paid time off

HSA

401k

FSAs

Disability coverage

Work-Life resources

Job summary

Cardinal Health seeks a Coordinator, Managed Care, Credentialing to secure active credentialing/enrollment with contracted payors for all groups and providers. You will maintain licenses and certifications and support provider enrollment across regions.

Requirements include at least three years in credentialing or payer enrollment, knowledge of the payer environment, and proficiency with Excel and Word. A college degree or healthcare experience is preferred, with flexible hours including

Qualifications

• At least three years of credentialing or payer enrollment experience.
• Knowledge of the payer environment and payer issues.
• Flexible schedule including overtime and weekends, as necessary.
• Excellent customer service and communication skills.
• Credentialing database experience preferred.

Responsibilities

• Document and track credentialing/enrollment, re-credentialing, and hospital privileging in the credentialing platform.
• Maintain and monitor licenses and certifications to ensure compliance across regions.
• Coordinate provider enrollment for all groups and providers.
• Ensure processing and reporting deadlines are met consistently.
• Collaborate with Credentialing Supervisor and team on status updates.

Skills

Credentialing

Payer enrollment

Excel

Communication

Customer service

Education

College degree or commensurate experience in healthcare

Tools

IntelliCred

E-Vips

Vistar

Cactus

Symed

Job description

Cardinal Health seeks a Coordinator, Managed Care, Credentialing to secure active credentialing/enrollment with contracted payors for all groups and providers. You will maintain licenses and certifications and support provider enrollment across regions.

Requirements include at least three years in credentialing or payer enrollment, knowledge of the payer environment, and proficiency with Excel and Word. A college degree or healthcare experience is preferred, with flexible hours including