Job Type
Full-time
Description
Full-Time, Remote
Overview:
CPA Medical Billing is seeking a detail-oriented and organized Credentialing Specialist to join our team. This role is essential in ensuring healthcare providers are properly credentialed and enrolled with payers, supporting compliance and uninterrupted revenue cycle operations.
What You’ll Do:
- Verify provider licenses, certifications, and documentation for accuracy and compliance
- Maintain and update CAQH profiles
- Submit payer enrollment applications within established timelines
- Follow up with payers regularly until approval is obtained
- Track application status and provider data using credentialing software
- Monitor license expirations and ensure timely renewals
- Research and resolve credentialing and enrollment issues as needed
Requirements
What We’re Looking For:
- Minimum 3 years of credentialing experience
- Strong understanding of provider enrollment and payer processes
- Experience with CAQH and credentialing systems
- High attention to detail and accuracy in data entry
- Strong organizational skills with the ability to manage multiple priorities
- Excellent written and verbal communication skills
- Ability to work independently and problem-solve effectively
Key Skills:
- Database management and software proficiency
- Analytical thinking and research skills
- Customer service mindset
- Ability to meet deadlines in a fast-paced environment
Why Join CPA Medical Billing?
- Collaborative and supportive team environment
- Opportunity to grow within the healthcare revenue cycle space
- Stable and essential role within the organization
- Competitive compensation
- Full benefits suite
- Equipment provided
Equal Opportunity Employer:
CPa/GeBBS Healthcare Solutions is committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, or any other protected status. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.