Senior Credentialing Specialist — Enrollments & Compliance

MediSolution; Oklahoma; Hybrid; USD 52,000 - 78,000; Full time

Benefits offered by this job

Competitive compensation

Meaningful perks

Flexibility

Culture that values people

Job summary

Harris, part of Constellation Software Inc., is seeking a healthcare credentialing and enrollment administrator to support provider enrollment and facility setup. The role focuses on maintaining accurate provider records, ensuring HIPAA compliance, and coordinating with payer enrollment for government and commercial payers.

The ideal candidate has at least a college background and several years in healthcare administration, credentialing, and revenue cycle activities, with strong communication

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.
• 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

Communication skills

Attention to detail

Team collaboration

Self-starter

Education

Two years of college

College degree a plus

Tools

Microsoft Word

Microsoft Excel

Email management

Job description

Harris, part of Constellation Software Inc., is seeking a healthcare credentialing and enrollment administrator to support provider enrollment and facility setup. The role focuses on maintaining accurate provider records, ensuring HIPAA compliance, and coordinating with payer enrollment for government and commercial payers.

The ideal candidate has at least a college background and several years in healthcare administration, credentialing, and revenue cycle activities, with strong communication