Credentialing Onboarding Specialist, CAQH

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the enrollment of providers into the system and manage necessary Medicare enrollment processes.

• Ensure that providers are linked to the correct profiles and systems, completing all applications and documentation punctually.

• Maintain thorough, precise, and up-to-date CAQH profiles and provider information.

• Act as the main credentialing contact for providers.

• Address provider inquiries, communicate necessary actions, and follow up on unresolved items.

• Track enrollment requirements, deadlines, correction requests, notifications, and signature solicitations.

• Work in partnership with Credentialing and RCM Support to align objectives and overcome credentialing and enrollment challenges.

• Create, document, and continuously enhance credentialing standard operating procedures.

• Support a compliant, current, and optimized provider network.

⛳️ Requirements

• Highly organized with impeccable follow-through.

• Proactive and able to navigate through uncertainty.

• Good judgment regarding urgency, ownership, and escalation processes.

• Warm and empathetic communication style.

• Capable of coordinating provider credentialing and enrollment tasks.

• Proficient in maintaining accurate CAQH profiles, provider credentials, licenses, and practice details.

• Skilled at tracking Medicare enrollment activities, signatures, corrections, notifications, deadlines, and outstanding requirements.

• Able to collaborate effectively with Credentialing, RCM Support, and other internal teams.

• Experienced in building, documenting, and refining standard operating procedures.

• Full-time remote availability within the United States.

🏝️ Benefits

• Flexibility to work remotely.

• Opportunities for growth and ownership.

• Engaging work that supports older adults.

• Collaborative, remote-first team culture.