Provider Credentialing & Contracts Specialist

Chcsek; Pittsburg, Northern (KS, KY); Hybrid; USD 48,000 - 76,000; Full time

Job summary

Community Health Center of Southeast Kansas (CHC/SEK) seeks a Credentialing and Contracting Specialist to verify provider credentials, manage licensure details, and support payer enrollment. The role ensures compliance with CHC/SEK policies and federal requirements while maintaining secure credentialing records.

The successful candidate will handle primary source verification, maintain CAQH/NPPES/NPI data, coordinate with departments, and ensure timely submission of applications to payers for

Qualifications

• High school diploma or equivalent required.
• Experience in a healthcare office setting preferred.
• Knowledge of credentialing policies and payer enrollment processes.

Responsibilities

• Process provider credentials and privileges for accuracy and compliance.
• Submit provider information to payers for enrollment and billing numbers.
• Maintain confidential credentialing files and ensure data integrity.

Skills

Credentialing knowledge

Attention to detail

Data integrity

Communication

HIPAA compliance

Education

High school diploma or equivalent

Tools

CAQH

NPPES

NPI

Credentialing software

EMR systems

Job description

Community Health Center of Southeast Kansas (CHC/SEK) seeks a Credentialing and Contracting Specialist to verify provider credentials, manage licensure details, and support payer enrollment. The role ensures compliance with CHC/SEK policies and federal requirements while maintaining secure credentialing records.

The successful candidate will handle primary source verification, maintain CAQH/NPPES/NPI data, coordinate with departments, and ensure timely submission of applications to payers for