Provider Credentialing & Contracting Specialist

Community Health Center of Southeast Kansas Inc; Pittsburg (KS); On-site; USD 42,000 - 64,000; Full time

Job summary

Community Health Center of Southeast Kansas Inc is seeking a Credentialing and Contracting Specialist to manage the credentialing and privileging process for all providers, ensuring accuracy and compliance with CHC/SEK policies and payer requirements.

The role involves researching provider credentials, maintaining key databases (NPI, CAQH, KMAP, NPPES), and coordinating with payers for enrollment and billing numbers. Strong data integrity and confidentiality are essential.

Qualifications

• High school diploma or equivalent required.
• One (1) year of experience in a healthcare office setting preferred.
• Any combination of education and work experience that would likely provide the required knowledge and abilities is qualifying.

Responsibilities

• Process provider credentials and privileges to verify accuracy and compliance.
• Research, reference, and background verification on providers prior to hiring.
• Maintain and secure credentialing files and data integrity for providers/facilities.

Skills

Healthcare office experience

Education

High school diploma or equivalent

Job description

Community Health Center of Southeast Kansas Inc is seeking a Credentialing and Contracting Specialist to manage the credentialing and privileging process for all providers, ensuring accuracy and compliance with CHC/SEK policies and payer requirements.

The role involves researching provider credentials, maintaining key databases (NPI, CAQH, KMAP, NPPES), and coordinating with payers for enrollment and billing numbers. Strong data integrity and confidentiality are essential.