What are the responsibilities and job description for the Credentialing Manager - Primary Care position at Total Primary Care?
Overview
We’re hiring a Credentialing Manager to lead provider credentialing and payer enrollment for Total Primary Care. This role is critical to ensuring providers are credentialed, approved, and billing on time.
Key Responsibilities
- Manage credentialing recredentialing for MDs, NPs, PAs
- Oversee Medicare, Medicaid, and commercial payer enrollments
- Maintain CAQH and other payer portals
- Track timelines to ensure providers are billing-ready
- Communicate with providers and team members to gather required documents and explain credentialing steps and guidelines
- Complete and submit payer enrollment and revalidation applications, track status and follow until approval
Qualifications
- 3–5 years of credentialing experience (primary care preferred)
- Strong knowledge of payer enrollment processes
- Highly organized with strong attention to detail
- Ability to manage multiple providers and deadlines
Why Join Us
- High-impact role tied directly to revenue
- Fast-paced, growing organization
- Opportunity to improve and build processes