Credentialing & Payer Enrollment Specialist

Shell Lubricants Hub Hamburg; Knoxville (TN); On-site; USD 40,000 - 60,000; Full time

Job summary

Covenant Health is looking for a Credentialing Specialist to manage Payer Enrollment and Hospital credentialing tasks in Knoxville, TN. This full-time position involves acting as a liaison, processing applications, and maintaining credentialing databases with confidentiality.

The ideal candidate should have at least two years of relevant experience and knowledge of credentialing standards. Strong organizational and communication skills are essential for success in this role.

Qualifications

• Minimum of two years' experience in Payer enrollment or hospital credentialing.
• Knowledgeable with Joint Commission and NCQA credentialing standards.
• Experience with Visual Cactus preferred.

Responsibilities

• Process payer enrollment and hospital credentialing applications.
• Maintain accurate credential files and data in Visual Cactus.
• Confidentially handle all credentialing information.

Skills

Data entry

Organizational skills

Communication skills

Knowledge of Joint Commission standards

Knowledge of NCQA credentialing standards

Education

Associate's degree or equivalent experience

Tools

Visual Cactus

Job description

Covenant Health is looking for a Credentialing Specialist to manage Payer Enrollment and Hospital credentialing tasks in Knoxville, TN. This full-time position involves acting as a liaison, processing applications, and maintaining credentialing databases with confidentiality.

The ideal candidate should have at least two years of relevant experience and knowledge of credentialing standards. Strong organizational and communication skills are essential for success in this role.