Credentialing Specialist: Provider Enrollment & Compliance

IVX Health; Brentwood (TN); On-site; USD 20,000 - 26,000; Full time

Benefits offered by this job

Comprehensive Healthcare

401(k) Retirement Plan

Flexible Savings Options

Education Assistance

Job summary

IVX Health is looking for a Credentialing Specialist based in Brentwood, Tennessee. The role focuses on credentialing and enrollment of practitioners for various states. Responsibilities include maintaining provider files, credentialing new hires, and ensuring compliance with federal and state regulations.

Candidates should have a Bachelor’s degree or equivalent experience and 3-5 years in the credentialing field. Proficiency in standard office software and strong analytical skills are vital for success in this role, as is communication with various payers.

Qualifications

• Experience in credentialing with commercial and government payers.
• Certified Provider Credentialing Specialist (CPCS) certification preferred.
• Experience with multi-site and/or multi-state providers.

Responsibilities

• Maintain provider files for credentialing applications.
• Credential new providers and re-credential existing ones.
• Track enrollment status with agencies and payers.

Skills

Exceptional written and verbal communication skills

Strong analytical and problem-solving skills

Knowledge of provider credentialing

Proficiency with standard office software

Education

Bachelor’s degree or equivalent work experience

3-5 years of experience in credentialing

Job description

IVX Health is looking for a Credentialing Specialist based in Brentwood, Tennessee. The role focuses on credentialing and enrollment of practitioners for various states. Responsibilities include maintaining provider files, credentialing new hires, and ensuring compliance with federal and state regulations.

Candidates should have a Bachelor’s degree or equivalent experience and 3-5 years in the credentialing field. Proficiency in standard office software and strong analytical skills are vital for success in this role, as is communication with various payers.