Multi-Site Healthcare Credentialing Specialist

CAROLINA NEPHROLOGY, PA; Greenville (SC); On-site; USD 52,000 - 56,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Carolina Nephrology is seeking an experienced Medical Credentialing Specialist to manage credentialing, privileging, and payer enrollment across multiple settings, with strong proficiency in Qgenda or similar software.

Responsibilities include initial and re-credentialing for 20–40 providers across ambulatory surgery centers, hospitals, dialysis centers, and clinics, coordinating with 7–12 hospitals and 20–25 clinics, ensuring CAQH updates and regulatory compliance.

Qualifications

• Experience in healthcare credentialing, payer enrollment, facility credentialing, and CAQH management.
• Strong working knowledge of QGenda or similar credentialing software.
• Credentialing across hospitals, ASCs, dialysis facilities, and physician practices.
• Thorough understanding of credentialing regulations and payer requirements.

Responsibilities

• Manage initial credentialing and re-credentialing for 20–40 providers across multiple sites.
• Oversee payer enrollment and re-enrollment with Medicare, Medicaid, and commercial plans.
• Maintain and update CAQH and credentialing databases.
• Coordinate credentialing with 7–12 hospitals, dialysis organizations, and 20–25 clinics.

Skills

Credentialing experience

Payer enrollment

CAQH management

Regulatory awareness

Tools

QGenda

Job description

Carolina Nephrology is seeking an experienced Medical Credentialing Specialist to manage credentialing, privileging, and payer enrollment across multiple settings, with strong proficiency in Qgenda or similar software.

Responsibilities include initial and re-credentialing for 20–40 providers across ambulatory surgery centers, hospitals, dialysis centers, and clinics, coordinating with 7–12 hospitals and 20–25 clinics, ensuring CAQH updates and regulatory compliance.