Insurance credentialing

Position Overview
We are seeking a detail-oriented and highly organized Insurance Credentialing Specialist to manage the end-to-end credentialing and re-credentialing process for healthcare providers. This role ensures that providers are properly enrolled, credentialed, and compliant with insurance carriers, state regulations, and organizational requirements.
The ideal candidate is proactive, experienced in insurance portals, and comfortable handling follow-ups with payers while maintaining accurate records and deadlines.
Key Responsibilities
Manage initial credentialing and re-credentialing for providers with insurance companies and government payers
Prepare, submit, and track credentialing and enrollment applications
Maintain provider files with up-to-date licenses, certifications, malpractice insurance, and required documentation
Follow up with insurance carriers to resolve pending or denied applications
Monitor re-credentialing cycles and ensure timely renewals
Communicate with providers to collect missing or updated documentation
Maintain accurate credentialing records, reports, and tracking spreadsheets or systems
Ensure compliance with payer requirements, internal policies, and regulatory standards
Coordinate with billing and operations teams to ensure providers are activated correctly
Qualifications & Skills
Previous experience in insurance credentialing (healthcare setting required)
Strong knowledge of insurance enrollment processes and payer portals
Excellent organizational and time-management skills
High attention to detail and accuracy
Strong written and verbal communication skills
Ability to manage multiple providers and deadlines simultaneously
Proficiency with credentialing software, spreadsheets, and online portals
Advanced or near-native English level
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