Credentialing Specialist

Responsibilities

• Complete health plan enrollment applications for both group and individual submissions across Medicaid and Commercial payers.
• Communicate directly with providers to gather necessary information for credentialing application submissions.
• Ensure adherence to application requirements to guarantee all required information is submitted to health plans
• Follow up on outstanding enrollments through phone, email, and portal to expedite provider enrollment approval
• Monitor application progress and propose solutions for resolving credentialing delays and rejections
• Track application progress and follow-ups directly in Salesforce

Requirements

• Bachelor's degree
• 2+ years working in health plan enrollment is preferred
• Experience with Medicaid enrollment is preferred
• Work authorized in the United States and native or bilingual English proficiency
• Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Dropbox, Salesforce

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees.