Multi-Payer Credentialing Specialist

Dean Dorton; Lexington (KY); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Flexible work schedules

Paid Time Off (PTO)

Paid family leave, medical leave

Retirement benefits with employer 401k

Telemedicine and wellness program

Job summary

Dean Dorton is seeking a Credentialing Services Specialist to ensure accurate credentialing and enrollment across Medicare, Medicaid, and commercial payers. The role emphasizes meticulous record-keeping, confidentiality, and timely processing within a fast-paced healthcare consulting environment.

You will manage licensure, certifications, and payer portals while coordinating with internal teams to support uninterrupted reimbursement and patient care.

Qualifications

• Minimum of 2 years of experience in provider credentialing across multiple payers and specialties.
• Experience with Intellisoft and CAQH databases preferred.
• Familiarity with EFT setup, payer enrollment, and credentialing requirements across multiple states.
• Strong attention to detail, organization, and record-keeping skills.
• Commitment to confidentiality and HIPAA compliance.
• Strong communication and customer service skills.

Responsibilities

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

Skills

Provider credentialing experience

HIPAA compliance

Attention to detail

Communication

Multitasking

Confidentiality

Customer service

Tools

Intellisoft

CAQH

Microsoft Office

Payer portals & EFT

Job description

Dean Dorton is seeking a Credentialing Services Specialist to ensure accurate credentialing and enrollment across Medicare, Medicaid, and commercial payers. The role emphasizes meticulous record-keeping, confidentiality, and timely processing within a fast-paced healthcare consulting environment.

You will manage licensure, certifications, and payer portals while coordinating with internal teams to support uninterrupted reimbursement and patient care.