Healthcare Credentialing & Network Enrollment Specialist

StrideCare; Addison (IL); Hybrid; USD 65,000 - 75,000; Full time

Job summary

StrideCare is seeking a Credentialing & Enrollment Specialist to manage end-to-end processes verifying provider qualifications and securing network participation with insurance payers. You will facilitate onboarding and revalidation activities and coordinate with providers, medical office staff, licensing agencies, and insurers.

Responsibilities include coordinating credentialing activities, maintaining databases for facilities and practitioners, tracking onboarding status, and supporting payor

Qualifications

• High School Diploma or equivalent.
• Associates or Bachelor's degree preferred.
• 3+ years in the healthcare industry.

Responsibilities

• Coordinate credentialing activities for onboarding initiatives.
• Collaborate with internal teams to ensure smooth provider onboarding.
• Maintain and update credentialing databases for facilities and practitioners.
• Communicate with providers, staff, licensing agencies, and payors.
• Assist with payor contracts as required.
• Participate in special projects and other duties as assigned.

Skills

HIPAA compliance

Microsoft Office

Organization skills

Multi-tasking

Background check

Education

High School Diploma or equivalent

Associates or Bachelor's degree preferred

Job description

StrideCare is seeking a Credentialing & Enrollment Specialist to manage end-to-end processes verifying provider qualifications and securing network participation with insurance payers. You will facilitate onboarding and revalidation activities and coordinate with providers, medical office staff, licensing agencies, and insurers.

Responsibilities include coordinating credentialing activities, maintaining databases for facilities and practitioners, tracking onboarding status, and supporting payor