Senior Credentialing Specialist

Harris Computer; Edmond (OK); On-site; USD 42,000 - 65,000; Full time

Job summary

Harris Computer in Edmond, OK is seeking a qualified healthcare administration professional to manage provider enrollment and credentialing tasks. The role supports new practice setup, tracks enrollment progress, and maintains credentialing records with attention to HIPAA guidelines.

Applicants should have 3+ years in healthcare credentialing/revenue cycle, familiarity with CAQH or CredentialStream, and strong communication, detail orientation, and organizational skills.

Qualifications

• Preferably a college graduate or at least two years of college completed.
• Minimum 3 years of experience in healthcare administration, credentialing, and provider enrollment (governmental and commercial payers) for facility-based providers.
• Minimum 1 year of experience in a healthcare revenue cycle setting.
• Familiarity with credentialing software (e.g., CAQH, CredentialStream).
• Strong written and verbal communication skills.
• Strong critical thinking skills.
• Excellent attention to detail.
• Client-service oriented.
• Highly effective team collaboration, accountable, and able to work with minimal supervision.
• Proficient in email management and Microsoft Word and Excel applications.
• Highly motivated self-starter.
• Organized, able to set priorities, and meet deadlines.
• Team player who supports department and company goals and policies.
• Degrees or coursework related to the medical field are a plus.

Responsibilities

• Accurately complete payer enrollment and facility appointment applications for providers.
• Provide support and assistance for new practice setup as needed.
• Track progress of outstanding applications and communicate with provider relation representatives ensuring enrollment completion.
• Maintain accurate and current information in the provider records including credentialing software database and in provider electronic folders.
• Maintain credential files in an orderly and current manner.
• Provide research and administrative support for special projects.
• Ensure HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities.
• Other duties may be assigned from time to time.

Skills

Communication skills

Team collaboration

Attention to detail

Microsoft Word

Excel

Email management

Self-starter

Organizational skills

Client-service oriented

Policy compliance

Education

College experience or degree

Tools

CAQH

CredentialStream

Job description

Daily tasks and responsibilities include, but not limited to:

• Accurately complete payer enrollment and facility appointment applications for providers.
• Provides support and assistance for new practice setup as needed.
• Track progress of outstanding applications and communicate with provider relation representatives ensuring enrollment completion.
• Maintains accurate and current information in the provider records which includes credentialing software database and in provider electronic folders.
• Maintains credential files in an orderly and current manner.
• Provides research and administrative support for special projects.
• Ensures HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities.
• Other duties may be assigned from time to time.

Important Note: This Job Description is subject to any reasonable adjustment in accordance with the changing and developing needs of the position.

Qualifications and Requirements

• Preferably a college graduate or at least two years of college completed.
• Minimum 3 years of experience in healthcare administration, credentialing, and provider enrollment (governmental and commercial payers) for facility-based providers.
• Minimum 1 year of experience in a healthcare revenue cycle setting.
• Familiarity with credentialing software (e.g., CAQH, CredentialStream).
• Strong written and verbal communication skills.
• Strong critical thinking skills.
• Excellent attention to detail.
• Client-service oriented.
• Highly effective team collaboration, accountable, and able to work with minimal supervision.
• Proficient in email management and Microsoft Word and Excel applications.
• Highly motivated self-starter.
• Organized, able to set priorities, and meet deadlines.
• Team player who supports department and company goals and policies.
• Degrees or coursework related to the medical field are a plus.