Provider Credentialing Specialist

Talentify; Overland Park (KS); On-site; USD 46,000 - 65,000; Full time

Job summary

Aria Care Partners in Overland Park, KS seeks a Credentialing Specialist to manage timely credentialing, contracting and re-credentialing with Commercial, Medicare, and Medicaid networks across multiple states. You will verify credentials, maintain confidential files, and coordinate with physicians, payers, and internal teams.

This full-time role requires strong organization, communication, and attention to detail, with a focus on compliance and efficient enrollment processes to support quality

Qualifications

• Minimum two years of health insurance credentialing experience preferred.
• Prior data management/data integrity experience preferred.
• Associates degree preferred.
• Proficient with Microsoft Office, including Excel, Word, and Outlook.

Responsibilities

• Prepare and submit credentialing applications and supporting documentation for enrolling groups and providers with Commercial, Medicare, and Medicaid networks.
• Follow up on the status of applications for providers with payers, tracking progression of pending and completed work.
• Maintains accurate and up-to-date database of information including provider credentials and payer statuses.
• Works closely with internal teams to communicate approvals and work through denials as necessary.
• Maintains knowledge of current payer requirements across multiple states and service lines.
• Maintain strict level of confidentiality and HIPAA compliance.
• Familiarity with state licensing requirements and provider onboarding tasks.
• Familiarity with various payer portals and CAQH.
• Contact providers and payers, by phone or email, for updates and/or to request missing information.
• Ensure group and provider information is current/accurate with health insurance payers.
• Assist with facility credentialing applications as needed.

Skills

Organizational skills

Communication skills

Problem solving

Attention to detail

Time management

Teamwork

Education

Associate degree

Tools

Microsoft Office

Excel

Word

Outlook

Job description

Aria Care Partners in Overland Park, KS seeks a Credentialing Specialist to manage timely credentialing, contracting and re-credentialing with Commercial, Medicare, and Medicaid networks across multiple states. You will verify credentials, maintain confidential files, and coordinate with physicians, payers, and internal teams.

This full-time role requires strong organization, communication, and attention to detail, with a focus on compliance and efficient enrollment processes to support quality