CVO Credentialing Specialist – Payor Enrollment & Coordination

Sentact

Las Vegas (NV)

Remote

USD 52,000 - 76,000

Full time

6 days ago
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Benefits offered by this job

Generous PTO
Medical Insurance
Dental Insurance
Vision Insurance
Disability Insurance
Life Insurance
HSA/FSA accounts
401(k) with employer match

Job summary

Sentact is seeking a Credentialing Verification professional to oversee payer credentialing for assigned clients within the U.S. healthcare network. You will coordinate credentialing, prepare applications, and manage project delivery, while communicating with clients and networks via multiple channels.

The role requires 2+ years in credentialing, strong attention to detail, and proficiency with MS Office, Adobe Acrobat, Salesforce, Teams, and Vonage. Remote work with flexible hours is possible.

Qualifications

  • 2+ years in provider enrollment / payer credentialing.
  • Experience with payor networks nationwide (government and commercial).
  • Excellent telephone communication skills.
  • Self-motivated, able to work independently to meet production goals; strong attention to detail.
  • Proficient with multiple business apps including MS Office, Adobe Acrobat, Salesforce, Teams, and Vonage.

Responsibilities

  • Oversee payer credentialing for assigned clients.
  • Coordinate credentialing and contracting needs for practitioners.
  • Prepare credentialing applications, letters, rosters, and correspondence with networks.
  • Manage total credentialing project delivery for each client.
  • Engage with clients via phone, text, and web chat to provide support.
  • Handle inquiries from insurance networks and healthcare organizations.
  • Track credentialing progress with networks and expeditors.
  • Document interactions in the internal system and coordinate enrollment team regionally.
  • Maintain relationships with insurance networks and clients.

Skills

Phone communication
Independent worker
Attention to detail
Office software

Tools

Microsoft Office
Adobe Acrobat
Salesforce
Microsoft Teams
Vonage

Job description

Sentact is seeking a Credentialing Verification professional to oversee payer credentialing for assigned clients within the U.S. healthcare network. You will coordinate credentialing, prepare applications, and manage project delivery, while communicating with clients and networks via multiple channels.

The role requires 2+ years in credentialing, strong attention to detail, and proficiency with MS Office, Adobe Acrobat, Salesforce, Teams, and Vonage. Remote work with flexible hours is possible.

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