[Hiring] Credentialing Specialist @PainPoint Health

Role Description

We are seeking an experienced Credentialing Specialist to manage provider and facility credentialing, privileging, and payer enrollment. This role requires hands-on experience credentialing new clinicians and medical sites, submitting Medicare applications, and coordinating credentialing for at least 10 clinicians across multiple states.

Key Responsibilities

• Coordinate credentialing and enrollment for new providers, medical sites, facilities, and services.
• Prepare and submit Medicare and other payer enrollment applications.
• Track licenses, credentials, privileges, insurance contracts, and expiration dates to prevent interruptions.
• Maintain accurate credentialing records and supporting documentation.
• Ensure compliance with regulatory, accreditation, and payer requirements.
• Communicate with providers, payers, and agencies regarding credentialing and enrollment needs.
• Follow established procedures and maintain confidentiality of sensitive information.

Qualifications

• High school diploma or GED.
• Previous administrative experience in a healthcare setting.
• Hands-on experience credentialing new clinicians and medical sites.
• Experience submitting Medicare applications.
• Experience managing credentialing for at least 10 clinicians and multiple sites across different states.
• Strong organizational, communication, and attention-to-detail skills.
• Proficiency in Microsoft Office and knowledge of medical terminology.
• Associate degree in healthcare administration, business, or a related field (preferred).
• Experience with Zendesk (preferred).
• Additional experience with payer enrollment and provider privileging (preferred).

Benefits

• Medical, dental, and vision insurance
• Health Savings Account (HSA) and health management tools
• 401(k) retirement plan
• Paid time off and company-paid holidays
• Life and AD&D insurance
• Short- and long-term disability
• Paid parental leave
• Remote work stipend and travel reimbursement
• Continuing education reimbursement
• Emergency travel assistance and identity theft protection
• Employee discounts and Bonusly rewards
• DailyPay - Access your pay when you need it