Senior Credentialing Specialist

New Ultimate Billing, LLC in; Oklahoma City (OK); On-site; USD 40,000 - 58,000; Full time

Job summary

New Ultimate Billing, LLC is seeking a Senior Credentialing Specialist (Administrative) to manage payer enrollment and provider credentialing processes in a healthcare setting. This role requires attention to detail, strong communication, and the ability to support practice setup and related projects.

The position emphasizes maintaining accurate records, using credentialing software, and collaborating with provider relation teams to ensure timely enrollment completion while adhering to HIPAA

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 (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.

Responsibilities

• 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.

Skills

Healthcare administration

Communication skills

Attention to detail

Team collaboration

Self-motivation

Education

College degree or related medical coursework

Tools

CAQH

CredentialStream

Microsoft Word

Microsoft Excel

Job description

Senior Credentialing Specialist (Administrative)

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.