Remote Credentialing & Compliance Specialist

Eye Consultants of Atlanta PC; Atlanta (GA); Remote; USD 42,000 - 68,000; Full time

Job summary

Eye Consultants of Atlanta PC is seeking a Credentialing Specialist to manage credentialing, re-credentialing, and data management under limited supervision. You will oversee applications, primary source verification, and ensure compliance with accrediting and regulatory agencies.

The role supports coordination with third-party payors, updates fee schedules and licensure policies, and drives timely credentialing processes while maintaining accurate provider records.

Qualifications

• High school education required.
• Medical practice experience preferred.
• Excellent verbal and written communication skills.
• Efficiency and organizational skills.
• Administrative skills.
• Computer literacy and adaptability to new technology.

Responsibilities

• Serves as company liaison with 3rd party payors.
• Manages update to date information regarding fee schedules.
• Manages and updates credentialing & clinic licensure policies and protocols.
• Ensures reports on credentialing status of providers is up to date and accurate.
• Defines and implements processes to ensure credentialing is completed and up to date in a timely manner.
• Manages process of negotiating new insurance contracts.
• Ensures all clinic information is accurate within 3rd party payor directory.
• Drives and implement seamless protocols for gathering credentialing data from health care providers.

Skills

Verbal communication

Written communication

Organizational skills

Administrative skills

Computer literacy

Education

High school diploma

Job description

Eye Consultants of Atlanta PC is seeking a Credentialing Specialist to manage credentialing, re-credentialing, and data management under limited supervision. You will oversee applications, primary source verification, and ensure compliance with accrediting and regulatory agencies.

The role supports coordination with third-party payors, updates fee schedules and licensure policies, and drives timely credentialing processes while maintaining accurate provider records.