Healthcare Credentialing & Provider Relations Pro

Wishalicious; Reno (NV); Vor Ort; USD 65.000 - 85.000; Vollzeit

Benefits dieser Stelle

Medical: Hometown Health PPO

Dental: Lincoln Dental

Vision: Lincoln Vision

Life Insurance

Paid Time Off

Sick Leave

Paid Holidays

401(k)

Zusammenfassung

Wishalicious in Reno is seeking a Healthcare Credentialing & Provider Relations Specialist to maintain credentialing, privileging, and payer enrollment for patient care at the Reno-Sparks Tribal Health Center. You will ensure records are accurate, current, and compliant with regulatory standards, supporting timely care access.

Responsibilities include processing credentialing files, verifying licensure and education, coordinating payer enrollments, reviewing contracts, and serving as a liaison

Qualifikationen

• 3+ years credentialing experience required.
• High School Diploma/GED required.
• Familiar with CAQH/Health Stream; strong organization, communication, and analytical skills.

Aufgaben

• Process initial and ongoing credentialing and re-credentialing files.
• Verify licensure, education, training, certifications, malpractice history, and references.
• Coordinate commercial payer contracts and enrollments with NextGen RCM Credentialing.
• Maintain provider data and track expirations; ensure audit readiness.

Kenntnisse

Organization

Communication

Analytical skills

Ausbildung

Associate's degree (preferred)

Tools

CAQH/Health Stream

Jobbeschreibung

Wishalicious in Reno is seeking a Healthcare Credentialing & Provider Relations Specialist to maintain credentialing, privileging, and payer enrollment for patient care at the Reno-Sparks Tribal Health Center. You will ensure records are accurate, current, and compliant with regulatory standards, supporting timely care access.

Responsibilities include processing credentialing files, verifying licensure and education, coordinating payer enrollments, reviewing contracts, and serving as a liaison