Credentialing & Payer Contracting Specialist

Chcsek; Pittsburg (KS); On-site; USD 42,000 - 62,000; Full time

Job summary

Community Health Center of Southeast Kansas (CHC/SEK) seeks a Credentialing and Contracting Specialist to verify credentials and ensure compliance with policies and regulations. The role supports recredentialing, data integrity, and payer enrollments.

Responsibilities include managing CAQH/NPI, submitting payer applications, maintaining confidential files, and coordinating provider information with the EMR for billing and enrollment. Strong communication is essential.

Qualifications

• High school diploma or equivalent required.
• One year of healthcare office experience preferred.
• Ability to work with credentialing policies and procedures.

Responsibilities

• Process provider credentials and privileges for accuracy and compliance.
• Verify licenses, education, and references per policy and regulations.
• Maintain CAQH, NPI and payer enrollment data for billing purposes.
• Submit provider applications to payers for enrollment.
• Maintain confidential credentialing files and ensure data integrity.
• Coordinate provider information (DEA, license, NPI) with EHR for billing.
• Communicate findings to supervisor and stakeholders.

Skills

Social sensitivity

Interpersonal skills

Communication

Computer literacy

Attention to detail

Customer service

HIPAA compliance

Confidentiality handling

Education

High school diploma or equivalent

Tools

Credentialing software

Electronic Medical Records (EMR)

Job description

Community Health Center of Southeast Kansas (CHC/SEK) seeks a Credentialing and Contracting Specialist to verify credentials and ensure compliance with policies and regulations. The role supports recredentialing, data integrity, and payer enrollments.

Responsibilities include managing CAQH/NPI, submitting payer applications, maintaining confidential files, and coordinating provider information with the EMR for billing and enrollment. Strong communication is essential.