Senior Credentialing Specialist

MediSolution; Northern (KY); Hybrid; USD 60,000 - 90,000; Full time

Job summary

Harris is seeking a Senior Credentialing Specialist to support payer enrollment and credentialing for healthcare providers. The role emphasizes accurate enrollment, proactive tracking of applications, and meticulous maintenance of credentialing records.

Candidates should have 3+ years in healthcare credentialing, familiarity with CAQH or CredentialStream, and strong communication. A team-focused, detail-oriented self-starter will thrive in this role within a collaborative environment.

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 for facility-based providers.
• Minimum 1 year of experience in a healthcare revenue cycle setting.
• Familiarity with credentialing software such as CAQH and CredentialStream.
• Strong written and verbal communication skills.
• Strong critical thinking skills.
• Excellent attention to detail.
• Client-service oriented with ability to collaborate in teams.

Responsibilities

• Accurately complete payer enrollment and facility appointment applications for providers.
• Track progress of outstanding applications and communicate with provider relations representatives.
• Maintain provider credentialing records and credentialing software databases.
• Maintain credential files in an orderly and current manner.
• Support new practice setup and special projects as needed.
• Ensure HIPAA guidelines are followed and protected health information is safeguarded.
• Provide research and administrative support for department initiatives.
• Perform other duties as assigned.

Skills

Communication skills

Critical thinking

Attention to detail

Client service

Team collaboration

Self-starter

Organization

Word/Excel proficiency

Email management

Education

College coursework preferred

Healthcare field coursework a plus

Tools

CAQH

CredentialStream

Job description

Senior Credentialing Specialist page is loaded## Senior Credentialing Specialistlocations: Oklahoma, United Statestime type: Temps pleinposted on: Publié hierjob requisition id: R0046880**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.Harris fournit des solutions logicielles essentielles pour le secteur public, les soins de santé, les services publics et le secteur privé en Amérique du Nord, en Europe, en Asie et en Australie.Travailler pour Harris est l'occasion idéale de réaliser vos objectifs professionnels ainsi que vos rêves personnels!Nos employés bénéficient d'un environnement de travail décontracté qui offre un confort tout en fournissant un service de qualité supérieure à nos clients. Nous offrons un ensemble complet d'avantages sociaux ainsi que d'autres \"avantages\" supplémentaires !* Nous donnons à nos employés les moyens de faire la différence* Nous avons une culture d'entreprise riche* Nous offrons la possibilité d'apprendre* Nous sommes financièrement solides et nous appartenons à la plus grande société de logiciels du Canada (CSI)* On s'amuse beaucoup !Suivez-nous sur les médias sociaux pour en savoir plus sur les valeurs, la culture et les initiatives de notre entreprise !**Harris est un employeur à égalité de chances et d'action positive. Nous considérons les candidats sans considération de race, couleur, religion, âge, origine nationale, ascendance, origine ethnique, sexe, identité de genre, expression de genre, orientation sexuelle, statut matrimonial, statut de vétéran, handicap, information génétique, statut de citoyen ou autre groupe protégé par la loi fédérale, provinciale ou locale.***Si vous souhaitez nous contacter concernant l'accessibilité de notre site Web ou si vous avez besoin d'aide pour remplir le formulaire de demande d'emploi, veuillez nous contacter au (1)-613-226-5611 ou à [e-mail]. Ces informations de contact sont uniquement destinées aux demandes d'accommodement raisonnable et ne peuvent être utilisées pour se renseigner sur le statut des candidatures.****Our commitment to fair and equitable hiring**. As part of our recruitment process, we use artificial intelligence (AI) tools during the initial screening phase to help identify candidates whose qualifications most closely align with the requirements of the role. This technology supports efficiency and consistency in the early stages, but it never replaces human judgement. All subsequent evaluations and final hiring decisions are made by our recruitment professionals. AI does not make final hiring decisions.*