3h ago

Credentialing Specialist

Nashville, TN

$40,000-$53,000 / year

full-timejuniorhealthcare

Tech Stack

Description

You will own health plan enrollment applications for Medicaid and Commercial payors, ensuring timely approval. You'll communicate with providers, track progress in Salesforce, and resolve credentialing delays.

Requirements

  • Bachelor's degree
  • 2+ years working in health plan enrollment preferred
  • Experience with Medicaid enrollment preferred
  • Work authorized in the US with native or bilingual English proficiency
  • Familiarity with Google Suite, Slack, Zoom, Dropbox, Salesforce

Responsibilities

  • Complete health plan enrollment applications for group and individual submissions across Medicaid and Commercial payors
  • Communicate directly with providers to gather necessary credentialing information
  • Follow up on outstanding enrollments via phone, email, and portal
  • Monitor application progress and propose solutions for resolving delays and rejections
  • Track application progress and follow-ups in Salesforce
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