Credentialing Specialist

Vaco by Highspring; Roswell (GA); On-site; USD 54,000 - 75,000; Full time

Job summary

Vaco by Highspring is seeking a Credentialing Specialist in Atlanta, GA who will manage provider and payer credentialing in a fast-paced healthcare environment.

The ideal candidate has 3+ years of credentialing experience in a physician practice, with Medicare/Medicaid and commercial enrollment knowledge, and a strong eye for detail. You will ensure regulatory compliance, maintain credentialing records, and support enrollment efforts on-site.

Qualifications

• 3+ years of provider and payer credentialing in a physician practice setting.
• Experience with Medicare, Medicaid, and commercial payer enrollment.
• Strong knowledge of credentialing documentation and verification requirements.
• Experience using payer portals and credentialing systems.
• Multi-state credentialing experience preferred.
• Ability to manage multiple deadlines in a fast-paced environment.
• Strong attention to detail and organizational skills.
• Excellent communication and follow-up skills.
• Maintaining compliant, audit-ready credentialing files.
• Onsite work at Atlanta, GA is required.

Responsibilities

• Support provider enrollment and credentialing processes.
• Maintain credentialing records and ensure audit readiness.
• Ensure compliance with regulatory and payer requirements.
• Collaborate with healthcare providers and payer teams to resolve credentialing issues.

Skills

Provider credentialing

Payer credentialing

Multi-state credentialing

Deadline management

Attention to detail

Communication skills

Audit-ready files

On-site work

Tools

Credentialing systems

Payer portals

Job description

Vaco is partnering with a growing healthcare company in Atlanta, GA to hire a Credentialing Specialist. This role is ideal for a detail-oriented professional with experience managing provider and payer credentialing in a fast-paced healthcare environment. The selected candidate will support provider enrollment, maintain credentialing records, and ensure compliance with regulatory and payer requirements. If you are seeking your next opportunity in healthcare administration,

• 3+ years of provider and payer credentialing experience within a physician practice setting
• Experience with Medicare, Medicaid, and commercial payer enrollment processes
• Strong knowledge of provider credentialing documentation and verification requirements
• Experience working in payer portals and credentialing systems
• Multi-state credentialing experience preferred
• Ability to manage multiple deadlines in a fast-paced environment
• Strong attention to detail and organizational skills
• Excellent communication and follow-up skills
• Experience maintaining compliant, audit-ready credentialing files
• Must be able to work fully onsite in Atlanta, GA

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan.

• the individual's skill sets, experience and training;
• licensure and certification requirements;
• office location and other geographic considerations;
• other business and organizational needs.

With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses and/or participation in medical, dental, and vision benefits as well as the company's retirement plan (or similar retirement benefits).

Equal Opportunity Notice

Highspring LLC (d/b/a Vaco by Highspring) and its parents, affiliates, and subsidiaries(“we,” “our,” or “Vaco by Highspring”) are committed to the full inclusion of all qualified individuals and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by applicable law. The company is also committed to ensuring that persons who need them are provided with reasonable accommodations; if an accommodation is needed to participate in the job application or interview process, please contact [e-mail].

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.

Representation Notice

By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. Additionally, you agree to be included in our talent pool for future hiring for similarly qualified positions. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. Lastly, you agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice

Vaco by Highspring respects your privacy and are committed to providing transparent notice of our policies.

• California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
• Virginia residents may access our state specific policies here.
• Residents of all other states may access our policies here.
• Canadian residents may access our policies in English here and in French here.
• Residents of countries governed by GDPR and UK GDPR may access our policies here.

Pay Transparency Notice

• the individual's skill sets, experience and training;
• licensure and certification requirements;
• office location and other geographic considerations;
• other business and organizational needs.