Credentialing Specialist

Pomelo Care, Inc.; United States; Remote; USD 60,000 - 80,000; Part time

Job summary

A healthcare company is seeking a Provider Credentialing Specialist for a 3-month contract. Responsibilities include managing health plan credentialing processes and collaborating with teams for smooth operations. The ideal candidate has 2-4 years of experience and expertise in credentialing. This role requires strong organizational skills and the ability to navigate ambiguity.

Qualifications

• 2-4 years of experience in a credentialing specialist role.
• Expertise with commercial health plan credentialing processes and CAQH.

Responsibilities

• Complete group and practitioner health plan credentialing for the telehealth clinic.
• Track applications from submission to approval, ensuring visibility into key milestones.
• Collaborate with the licensing and credentialing team to expedite health plan credentialing.

Skills

Organization

Time Management

Collaboration

Proactiveness

Job description

A company is looking for a Provider Credentialing Specialist for a 3-month contract.

Key Responsibilities

• Complete group and practitioner health plan credentialing for the telehealth clinic
• Track applications from submission to approval, ensuring visibility into key milestones
• Collaborate with the licensing and credentialing team to expedite health plan credentialing

Required Qualifications

• 2-4 years of experience in a credentialing specialist role
• Expertise with commercial health plan credentialing processes and CAQH
• Highly organized with strong prioritization and time management skills
• Proactive and resourceful in navigating ambiguity
• Collaborative team player with accountability