Hybrid Credentialing Enrollment Specialist

Kansas Inc.; Topeka (KS); Hybrid; USD 33,000 - 40,000; Full time

Benefits offered by this job

Health insurance

Vision/Dental insurance

6 weeks parental leave

Fertility/Adoption assistance

2 weeks caregiver leave

401(k) plan matching up to 5%

Tuition reimbursement

Health & fitness benefits

Job summary

Blue Cross and Blue Shield of Kansas is seeking a credentialing specialist to handle provider credentialing applications across lines of business. You will review applications, perform verifications, coordinate with internal teams, and ensure accuracy prior to committee review.

Hybrid or onsite work in Kansas or Missouri is eligible, with relocation possible. Applicants should have healthcare terminology knowledge, strong confidentiality, and the ability to manage deadlines.

Qualifications

• Knowledge of credentialing processes and databases.
• Experience with CAQH and provider records handling.
• Ability to maintain confidentiality and follow compliance.

Responsibilities

• Review credentialing applications and prepare files for committee.
• Contact providers to obtain missing information.
• Perform primary source verification (license, board certs, sanctions).
• Educate providers on credentialing requirements and timelines.
• Add providers to CAQH roster before recredentialing deadlines.
• Coordinate network enrollment after credentialing completion.

Skills

Credentialing

CAQH roster

Quality assurance

Confidentiality

Education

High school diploma

Healthcare terminology training

Job description

Blue Cross and Blue Shield of Kansas is seeking a credentialing specialist to handle provider credentialing applications across lines of business. You will review applications, perform verifications, coordinate with internal teams, and ensure accuracy prior to committee review.

Hybrid or onsite work in Kansas or Missouri is eligible, with relocation possible. Applicants should have healthcare terminology knowledge, strong confidentiality, and the ability to manage deadlines.