CVO Specialist - Provider Enrollment Coordinator

Sentact; Phoenix (AZ); Remoto; USD 55.000 - 70.000; Tempo pieno

Vantaggi offerti da questo lavoro

PTO

Medical insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

HSA/FSA

401(k) with employer match

Descrizione del lavoro

Sentact is a national company providing credentialing services to the healthcare industry. We are seeking a full‑time Credentialing Specialist to oversee payer credentialing for assigned clients and coordinate with insurance networks across the country.

The role offers comprehensive benefits including PTO, health plans, and a 401(k) with employer match. You will manage credentialing applications, communicate with networks, and drive project success for multiple clients, while maintaining strict

Competenze

• 2+ years in provider enrollment / payer credentialing with a solid understanding of the credentialing and contracting process.
• Experience with payor networks nationwide including government programs and commercial insurers.
• Excellent telephone communication skills to interact with insurance companies, clients, staff, and prospects.
• Self-motivated and able to work independently to achieve production goals with attention to detail.
• Proficient in multiple business applications including Microsoft Office, Adobe Acrobat, Salesforce, Teams, and Vonage.

Mansioni

• Oversee all payer credentialing matters for assigned clients.
• Coordinate payor credentialing for practitioners and client needs.
• Prepare credentialing applications, letters, rosters, and communications with insurance networks.
• Manage credentialing projects for each client from start to finish.
• Handle inbound inquiries via phone, text, and web chat to provide support.

Conoscenze

Credentialing

Enrollment

Phone communication

Independent work

Office apps

Strumenti

Salesforce.com

Microsoft Office

Microsoft Teams

Adobe Acrobat

Vonage

Descrizione del lavoro

About the Company

In 2025, through the addition of several new business lines, Sentact expanded to form a truly unique company with the goal of strategically addressing a critical need for healthcare organizations – specifically, offering an integrated suite of solutions to encompass patient safety, quality, experience, and regulatory readiness. From credentialing to peer review, to comprehensive rounding for safety and experience, to clinical analytics, incident reporting and a market-leading patient safety organization, Sentact’s solutions address the pressing operational and regulatory challenges facing healthcare leaders today. And our story is still being written – with the help of our customers. We will continue to evolve as we listen and respond to the needs of our customers, empowering them to reimagine the path to exceptional care.

About the Role

Sentact is a national company providing credentialing services to the healthcare industry. We are currently seeking to fill a full-time position in our Credentialing Verification Organization (CVO). Our CVO team works with client physicians and other non-physician providers to coordinate the process of credentialing and contracting with insurance companies. Benefits include generous PTO, Medical, Dental, Vision, Disability, Life, HSA/FSA accounts, and 401(k) with employer match.

Responsibilities

• Oversee all payer credentialing matters for assigned clients
• Be responsible to your assigned clients for any needs related to payor credentialing for their practitioners
• Preparation of credentialing applications, letters, rosters and other communication with insurance networks
• Total project management of the credentialing services purchased by each assigned client
• Inbound telephone, text message, and web chat communication with clients to answer questions and provide support
• Inbound communications from insurance companies, and other healthcare organizations
• Outbound calls to insurance carriers to verify credentialing application progress and to expedite the credentialing process
• Data entry and document maintenance of physician/provider information
• Documenting interactions with insurance networks and clients in the internal software platform
• Coordinate work assignments among enrollment team assigned to the region
• Maintain relationships with insurance network contacts as well as clients

Required Skills and Qualifications

• 2+ years in provider enrollment / payer credentialing with a solid understanding of the credentialing and contracting process
• Experience working with payor networks throughout the country including government health programs as well as commercial insurance networks
• Excellent telephone communication skills to interact with insurance companies, clients, staff, and prospects
• Ideal candidate must be self-motivated, capable of working independently to achieve production goals, and have attention to detail
• Able to work proficiently within multiple business applications including Microsoft Office, Adobe Acrobat, Salesforce.com, Microsoft Teams, Vonage softphone

Other Requirements

• Qualified applicants must be authorized to work in the United States commit to perform all work in the United States
• Have a dedicated workspace in your residence that allows for privacy, minimal disruptions, and have adequate high-speed internet
• Work hours: Monday through Friday, hours flexible depending on employee time zone and client needs

We are unable to employ applicants located in the state of Hawaii at this time

Sentact provides equal employment opportunities to all employees and applicants for employment without regard to race, color, creed, ancestry, national origin, citizenship, sex or gender, gender identity or expression, sexual orientation, marital status, religion, age, disability, genetic information, service in the military, or any other characteristic protected by applicable federal, state, or local laws and ordinances.