Provider Credentialing Specialist

Job description

Description Position Summary: AO Multispecialty Clinic is seeking a detail-oriented and highly organized Provider Credentialing Specialist to support our growing multi-specialty practice. This role is responsible for managing all aspects of provider credentialing, recredentialing, and payer enrollment to ensure compliance with regulatory, accreditation, and payer requirements. The ideal candidate will have strong knowledge of healthcare credentialing processes, excellent follow-through, and the ability to manage multiple deadlines in a fast-paced medical environment. Key Responsibilities: · Manage initial credentialing and recredentialing for physicians and advanced practice providers across multiple specialties and locations · Complete and submit payer enrollment applications for commercial insurance, Medicare, Medicaid, and managed care plans · Maintain and update provider records within credentialing databases and CAQH profiles · Monitor credential expiration dates including: · Ensure timely revalidation and recredentialing with all payers · Serve as liaison between providers, payers, hospitals, and internal departments · Track application status and follow up with insurance car...