Creentialing Specialist

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

We are seeking an experienced Credentialing Specialist to join our growing, multi-location healthcare organization. This is a key role responsible for managing all aspects of provider credentialing, payer enrollment, recredentialing, and ongoing credential maintenance.The ideal candidate will be able to step in immediately, evaluate current credentialing practices, establish reliable processes, develop tracking systems, and independently manage provider applications through payer approval and enrollment.The Credentialing Specialist will collaborate closely with Providers, Revenue Cycle, Billing, Human Resources, Finance, Compliance, and Operational Leadership to ensure timely provider enrollment, prevent interruptions in billing, and maintain compliance with payer and regulatory requirements.This role is ideal for a proactive, highly organized professional who enjoys building structure, solving enrollment challenges, and improving processes within a growing healthcare organization.Key ResponsibilitiesManage provider credentialing, recredentialing, and payer enrollment processes from start to finish.Complete and submit applications to commercial insurance payers, government programs, and managed care organizations.Maintain and update provider information in CAQH and payer portals.Manage NPI registration, taxonomy updates, and NPPES maintenance.Track credentialing and enrollment statuses to ensure timely approvals and renewals.Monitor provider licenses, certifications, malpractice insurance, and other credential expirations.Maintain accurate provider rosters and enrollment records.Identify and resolve enrollment issues, denials, and application delays.Develop and maintain credentialing tracking systems, workflows, and documentation procedures.Serve as a liaison between providers, payers, and internal departments.Ensure compliance with organizational policies, payer requirements, and regulatory standards.Compensation: $22.00-$26.00 per hour, based on experience.Apply today if you're an experienced credentialing professional ready to make an immediate impact in a growing healthcare organization.RequiredMinimum of 2 years of healthcare credentialing and payer enrollment experience.Demonstrated experience managing provider credentialing independently.Working knowledge of:CAQHNPPESNPI and taxonomy managementCommercial insurance enrollment processesPayer portals and provider roster managementStrong organizational skills and attention to detail.Ability to manage multiple providers, deadlines, and enrollment projects simultaneously.Excellent communication and problem-solving abilities.Proficiency with Microsoft Office applications, particularly Excel.PreferredExperience with Oklahoma SoonerCare enrollment and credentialing.Experience credentialing behavioral health, therapy, or mental health providers.Experience building credentialing workflows, tracking systems, and process improvements in a growing organization.