Senior Credentialing Specialist

Harris Computer; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

Harris Computer in the United States seeks an experienced healthcare credentialing specialist to manage payer enrollment for facility-based providers and support new practice setup. You will collaborate with provider relations and maintain accurate records.

The role requires strong organizational skills, attention to detail, and excellent communication. Prior credentialing software experience and healthcare revenue cycle exposure are highly valued.

Qualifications

• 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.
• Preferably a college graduate or at least two years of college completed.
• Strong written and verbal communication skills.
• Excellent attention to detail and client service orientation.

Responsibilities

• Accurately complete payer enrollment and facility appointment applications for providers.
• Track progress of outstanding applications and communicate with provider relation representatives to ensure enrollment completion.
• Maintain accurate provider records in credentialing software and electronic folders.
• Maintain credential files in an orderly and current manner.
• Provide research and administrative support for special projects.
• Ensure HIPAA guidelines are respected and protected.

Skills

Communication skills

Critical thinking

Attention to detail

Client-service orientation

Team collaboration

Self-starter

Organizational skills

Education

College coursework (or pursuing)

Tools

CAQH

CredentialStream

Email management

Microsoft Word

Microsoft Excel

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.