Credentialing Specialist - Enrollment & Compliance Lead

Mirabelle Care; Oklahoma City (OK); On-site; USD 30,307 - 35,817; Full time

Job summary

Mirabelle Care is seeking an experienced Credentialing Specialist to join a growing multi-location healthcare organization. You will manage provider credentialing, payer enrollment, recredentialing, and ongoing credential maintenance, collaborating with Revenue Cycle, Billing, HR, Finance, and Compliance.

The role requires evaluating current credentialing practices, establishing reliable processes, and developing tracking systems to ensure timely enrollment and compliance with payer and

Qualifications

• Minimum of 2 years of healthcare credentialing and payer enrollment experience.
• Ability to manage provider credentialing independently from start to finish.
• Experience with CAQH, NPI, NPPES and payer enrollment processes.

Responsibilities

• Manage provider credentialing, recredentialing, and payer enrollment end-to-end.
• Submit applications to commercial payers, government programs, and managed care.
• Maintain provider information in CAQH and payer portals.
• Track credentialing statuses to ensure timely approvals and renewals.
• Monitor licenses, certifications, malpractice insurance, and credential expirations.
• Develop credentialing tracking systems and documentation procedures.

Skills

Credentialing

Payer enrollment

Attention to detail

Organizational skills

Communication

Problem-solving

Tools

CAQH

NPPES

NPI

Taxonomy management

Payer portals

Job description

Mirabelle Care is seeking an experienced Credentialing Specialist to join a growing multi-location healthcare organization. You will manage provider credentialing, payer enrollment, recredentialing, and ongoing credential maintenance, collaborating with Revenue Cycle, Billing, HR, Finance, and Compliance.

The role requires evaluating current credentialing practices, establishing reliable processes, and developing tracking systems to ensure timely enrollment and compliance with payer and