Healthcare Credentialing & Enrollment Specialist

Dean Dorton; Cincinnati (OH); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Flexible schedules

Paid Time Off (PTO)

Paid family leave, medical leave, and

Retirement benefits with employer 200%

Telemedicine and wellness resources

Job summary

Dean Dorton, a leading professional services firm, seeks a Credentialing Services Specialist to manage provider credentialing and enrollment across Medicare, Medicaid, and commercial payers. The role emphasizes accuracy, confidentiality, and timely processing to ensure uninterrupted patient care.

The ideal candidate has at least 2 years of credentialing experience, is detail-oriented, and proficient with Intellisoft and CAQH.

Qualifications

• Minimum of 2 years of provider credentialing experience across payers and specialties.
• Experience with Intellisoft and CAQH databases preferred.
• Familiarity with EFT setup, payer enrollment, and multi-state credentialing.
• Strong attention to detail, organization, and record-keeping.

Responsibilities

• Manage provider credentialing and enrollment with Medicare, Medicaid, and commercial payers.
• Initiate payer contracts for new physician practices and monitor revalidations.
• Maintain accurate provider records including licensure, certifications, malpractice insurance, and DEA registration.
• Complete applications and updates in Intellisoft, CAQH, and payer portals.
• Track and resolve credentialing-related issues to ensure uninterrupted claim processing and payment.
• Research credentialing requirements and share updates with clients and team members.
• Ensure compliance with federal, state, and payer-specific credentialing regulations.

Skills

Detail oriented

Organizational skills

Communication

Discretion

Customer service

Tools

Intellisoft

CAQH

Microsoft Office

Payer portals

Job description

Dean Dorton, a leading professional services firm, seeks a Credentialing Services Specialist to manage provider credentialing and enrollment across Medicare, Medicaid, and commercial payers. The role emphasizes accuracy, confidentiality, and timely processing to ensure uninterrupted patient care.

The ideal candidate has at least 2 years of credentialing experience, is detail-oriented, and proficient with Intellisoft and CAQH.