Credentialing Specialist — Great Benefits & PTO

Integratedservice; New Lexington (OH); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Generous paid time off

Strong benefits package

Job summary

Integrated Services for Behavioral Health in Ohio is seeking a Credentialing Specialist to manage provider credentialing, CAQH/NPPES/PECOS tracking, and related billing support. The role emphasizes Medicaid credentialing with potential Medicare or private payer work.

Strong attention to detail and the ability to drive timely credentialing and re-credentialing in a fast-paced environment are essential. Experience with CAQH, CMS databases, and EHR systems will help ensure accurate provider

Qualifications

• High school diploma or GED required; bachelor’s degree preferred.
• 1 year credentialing in Ohio Behavioral Health Medicaid required.
• 3 years experience with electronic health record systems for claims preferred.

Responsibilities

• Maintain provider files with up-to-date credentialing information.
• Track CAQH, PECOS, NPPES, and CMS portals and ensure active logins.
• Update CAQH files for providers according to CMS/Medicaid schedules.
• Enroll new providers with NPI; terminate enrollment when needed.
• Support billing operations to aid reimbursement processes.

Skills

CAQH portal navigation

NPI/NPIs handling

CMS/Medicaid knowledge

Verbal and written communication

Deadline management

Education

High school diploma or GED

Bachelor’s degree preferred

Tools

EHR systems

PECOS

NPPES

Job description

Integrated Services for Behavioral Health in Ohio is seeking a Credentialing Specialist to manage provider credentialing, CAQH/NPPES/PECOS tracking, and related billing support. The role emphasizes Medicaid credentialing with potential Medicare or private payer work.

Strong attention to detail and the ability to drive timely credentialing and re-credentialing in a fast-paced environment are essential. Experience with CAQH, CMS databases, and EHR systems will help ensure accurate provider