Credentialing Specialist

Job description

Description About CLS Health: CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians! Job Summary: The Credentialing Specialist – Payer Insurance Enrollment is responsible for managing the complete enrollment lifecycle for providers with commercial and government payers. This role ensures timely, accurate submission and maintenance of payer applications, supports the onboarding process for newly hired providers, and works closely with payers, internal stakeholders, and provider groups to ensure compliance and reduce reimbursement delays. The ideal candidate is detail-oriented, deadline-driven, and highly organized, with strong communication and problem-solving skills. Job responsibilities: Payer Enrollment - Prepare, submit, and track provider enrollment applications for Medicare, Medicaid, and commercial insurance plans. - Maintain complete, accurate, and updated CAQH profiles for all providers. - Monitor enrollment statuses and pr...