Remote Credentialing Specialist: Elevate Healthcare Access

OCHIN, Inc.; Home (KS); Remote; USD 45,000 - 65,000; Full time

Job summary

OCHIN, Inc. is hiring a Credentialing Specialist to manage credentialing, privileging, and payor enrollment for providers across our national network. This is a fully remote role with travel as needed to support installations and enrollment activities.

The ideal candidate has at least two years of credentialing experience, knowledge of HRSA/FTCA/TJC/NCQA standards, and proficiency with credentialing software, MS Office, and Smartsheet. A CPCS certification is preferred.

Qualifications

• Two years of progressive credentialing and/or provider enrollment experience preferred.
• In-depth knowledge of credentialing, privileging and provider enrollment standards (HRSA, FTCA, TJC, NCQA) preferred.
• Certified Provider Credentialing Specialist (CPCS) may be required or strongly preferred.
• Proficiency in credentialing software and data management systems is preferred.
• Experience with MD-Staff is preferred.

Responsibilities

• Process initial credentialing and recredentialing applications in a timely manner per regulatory standards.
• Review and analyze credentialing applications for accuracy and completeness.
• Validate provider credentials through appropriate verification sources.
• Identify discrepancies and perform follow-up to resolve issues.
• Complete payor provider enrollment, revalidations, and maintain CAQH/NPPES provider data.

Skills

Client-facing

Attention to detail

Communication skills

Time management

Education

CPCS certification

Tools

MS Office Suite

Smartsheet

Jira

Credentialing software

Job description

OCHIN, Inc. is hiring a Credentialing Specialist to manage credentialing, privileging, and payor enrollment for providers across our national network. This is a fully remote role with travel as needed to support installations and enrollment activities.

The ideal candidate has at least two years of credentialing experience, knowledge of HRSA/FTCA/TJC/NCQA standards, and proficiency with credentialing software, MS Office, and Smartsheet. A CPCS certification is preferred.