Credentialing Specialist

ATI Health; Northern (KY); Hybrid; USD 28,000 - 33,000; Full time

Job summary

ATI Health is seeking a Credentialing Specialist to support credentialing for new clinicians/locations and recredentialing for existing ones. This remote US-based role collaborates with the Credentialing Manager and Director while handling inquiries, enrollments, and terminations with contracted payers.

The position emphasizes attention to detail, strong communication, and proficiency in credentialing workflows, with the team valuing collaboration and continuous improvement.

Qualifications

• High School Diploma or equivalent is required.
• At least 1 year of insurance plan experience preferred but not required.
• Strong computer skills including Microsoft Office preferred but not required.

Responsibilities

• Monitor new location enrollments and manage existing locations up for revalidation enrollments with contracted payers
• Manage new hire clinicians onboarding credentialing documents and existing clinicians up for recredentialing with contracted payers.
• Respond to inquiries pertaining to recredentialing/revalidation/attestations for clinicians and locations
• Manage clinician and location terminations from participating insurance plans
• Maintain Credentialing Matrix up to date
• Utilize analytical skills to review and monitor aging reports
• Monitor rejection trends through observations and/or data analysis
• Assist in identifying changes in policies and procedures to improve efficiencies; suggest ways to improve workflows

Skills

Strong communication

Organizational skills

Attention to detail

Teamwork

Microsoft Office

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Overview

Join a collaborative, supportive team that plays an important role in helping our providers deliver care to patients. You’ll work with experienced credentialing professionals who value teamwork, open communication, continuous improvement, and professional growth. Our work is fast-paced and meaningful, with opportunities to solve problems, improve processes, partner across the organization, and make a measurable impact.

The Credentialing Specialist is responsible for all functions associated with credentialing of new clinician/locations and recredentialing/revalidation of existing clinicians/locations. The Credentialing Specialist reports to Credentialing Manager and supports the department through maintaining of current information on file and within credentialing database as well as staying up to date on payer changes.

This position primarily works independently, but frequently coordinates with other team members, Credentialing Manager and Credentialing Director.

This is a remote position for United States based employees.

Responsibilities

• Monitor new location enrollments and manage existing locations up for revalidation enrollments with contracted payers
• Manage new hire clinicians onboarding credentialing documents and existing clinicians up for recredentialing with contracted payers.
• Respond to inquiries pertaining to recredentialing/revalidation/attestations for clinicians and locations
• Manage clinician and location terminations from participating insurance plans
• Maintain Credentialing Matrix up to date
• Utilize analytical skills to review and monitor aging reports
• Monitor rejection trends through observations and/or data analysis
• Assist in identifying changes in policies and procedures to improve efficiencies; suggest ways to improve workflows

Qualifications

Minimum Education

• High School Diploma or equivalent

Minimum Experience

• At least 1 year of experience working with insurance plans preferred but not required.
• Strong computer skills including Microsoft Office preferred but not required.

Knowledge Skills and Abilities

• Strong communication and organizational skills.
• Strong attention to detail.
• Ability to maintain positive and professional relations with clients, coworkers, and managers.

Virtual Employee?

Yes

Salary Range

$20.16-$24.29 per hour

Job Locations US

Job Category Corporate - Operations Support

Pay Class Full Time