1d ago
Credentialing and Provider Enrollment Specialist
Pomona, CA
$47.8k-$66.7k / year
full-timemidhealthcare
💼 About This Role
You'll join a credentialing team to ensure providers are enrolled quickly and accurately with health plans and hospitals. Your work will keep patient care uninterrupted by solving enrollment issues and maintaining clean provider data. This role stands out for its hands-on impact within a tech-enabled healthcare company.
🎯 What You'll Do
- Complete credentialing and enrollment tasks accurately and timely.
- Process credentialing, re-credentialing, and privileging applications.
- Resolve enrollment issues directly with health plans.
- Monitor application timelines to prevent delays.
- Maintain high data quality for provider and credentialing data.
📋 Requirements
- Bachelor's degree in healthcare administration or related field (preferred)
- 3+ years of experience in provider credentialing/enrollment
- Knowledge of NCQA standards and payer requirements
- Excellent problem-solving and critical thinking skills
✨ Nice to Have
- Experience with credentialing/enrollment software and databases
- Strong organizational and communication skills
🎁 Benefits & Perks
- 🏥 Medical, dental, and vision health benefits
- 💵 Life insurance
- 🏖️ Paid leaves
📨 Hiring Process
Estimated timeline: 2-4 weeks · AI estimate
- 1Recruiter Call· 30 min
- 2Hiring Manager Interview· 45 min
- 3Team Interview· 45 min
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