What are the responsibilities and job description for the Senior Credentialing Specialist position at Elint RCM Solutions LLC?
Job Title: Senior Credentialing Specialist
Location: Remote
Employment Type: Full-Time
Timing: 08:00 PM - 05:00 AM
Days: Monday to Friday
Job Summary:
We are seeking a highly organized and detail-driven Credentialing Specialist to join our organization. This role is critical to ensuring timely provider enrollment, payer compliance, and uninterrupted revenue flow.
The ideal candidate will take ownership of the end-to-end credentialing lifecycle, including enrollment, re-credentialing, and payer communications, while maintaining accuracy, accountability, and proactive follow-through.
Key Responsibilities:
- Manage the full-cycle credentialing and re-credentialing process for providers.
- Prepare, complete, and submit enrollment applications to commercial and government payers (Medicare, Medicaid, and private insurers).
- Maintain and regularly update CAQH profiles to ensure accuracy and audit readiness.
- Track application statuses, proactively follow up with payers, and escalate delays when necessary.
- Verify provider credentials, including licenses, board certifications, DEA registrations, and malpractice insurance.
- Maintain accurate, up-to-date credentialing records and databases.
- Collaborate with providers and internal teams to gather required documentation and resolve discrepancies.
- Monitor expiration dates and ensure timely renewals to prevent lapses in credentialing.
- Identify, troubleshoot, and resolve credentialing denials or enrollment issues.
- Ensure compliance with payer requirements, regulatory standards, and organizational policies.
- Zero or minimal credentialing-related revenue delays
- High accuracy in documentation and data management
- Proactive communication with payers and internal stakeholders
Requirements:
- 3–5 years of experience in healthcare credentialing and provider enrollment
- Strong working knowledge of CAQH, NPI, PECOS, Medicare, Medicaid, and commercial insurance credentialing
- Excellent communication and follow-up skills
- Strong attention to detail and organizational abilities
- Ability to manage multiple providers, applications, and deadlines simultaneously
- Proficiency in Microsoft Excel and healthcare practice management systems
Apply or send resumes to: hr@elintrcm.com or WhatsApp: 0315-2448866