Credentialing Specialist: Healthcare Enrollments

Fresenius Medical Care; Austin (TX); On-site; USD 48,000 - 72,000; Full time

Job summary

Fresenius Medical Care is seeking a Credentialing Specialist to verify credentialing documentation for multiple specialties and ensure timely submissions. You will enter provider data into the credentialing system, maintain files, and monitor expirations while adhering to CMS/NCQA requirements.

High school diploma and 2–4 years of related experience in health insurance or credentialing are preferred. Strong communication and analytical skills, plus proficient computer use, are essential for

Qualifications

• 2–4 years of related experience in health insurance preferred.
• Excellent customer/interpersonal skills.
• Detail oriented with strong analytical and organizational skills.
• Excellent oral and written communication skills.
• Strong computer skills with proficiency in word processing, spreadsheets, databases and email.

Responsibilities

• Verifies and reviews all credentialing items (Medicare, education, training, licenses, malpractice insurance, CLIA).
• Enters provider information and primary source verification data into the credentialing system.
• Creates and maintains provider files in compliance with policies.
• Completes payer enrollment and facility applications timely.
• Obtains missing documents and escalates items to leadership to avoid lapses.
• Maintains data integrity in credentialing records and related databases.
• Performs monthly monitoring of expirations and regulatory requirements.
• Assists with projects and trainings.

Skills

Customer service

Interpersonal skills

Attention to detail

Analytical skills

Organizational skills

Written communication

Oral communication

Computer skills

Education

High School Diploma

Tools

Word processing

Spreadsheets

Database software

Email applications

Job description

Fresenius Medical Care is seeking a Credentialing Specialist to verify credentialing documentation for multiple specialties and ensure timely submissions. You will enter provider data into the credentialing system, maintain files, and monitor expirations while adhering to CMS/NCQA requirements.

High school diploma and 2–4 years of related experience in health insurance or credentialing are preferred. Strong communication and analytical skills, plus proficient computer use, are essential for