Credentialing Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $45k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Wellpath

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2003

🏥 Healthcare

🏛️ Government

🌍 Social Impact

Healthcare • Government • Social Impact

Wellpath is a healthcare services provider that delivers medical and mental health care to individuals in correctional settings such as jails and prisons across the United States. The company staffs facilities with nursing, behavioral health, physicians, pharmacy, dental, and support professionals, operates a public careers portal, and emphasizes comprehensive employee benefits and hiring integrity. Wellpath partners with government correctional agencies to care for vulnerable, often overlooked populations and promotes community reintegration and social impact through its outreach programs.

📋 Description

• Manage provider credentialing, recredentialing, and enrollment processes • Review applications, conduct verification, and maintain documentation • Maintain credentialing files, databases, and tracking systems • Monitor license renewals, certifications, DEA registrations, and other required credentials • Review provider applications for completeness and investigate discrepancies • Obtain missing information as needed • Apply for provider participation with insurance networks, Medicare, Medicaid, and other payer panels • Monitor application status and follow-up activities • Conduct credentialing audits and generate reports • Recommend process improvements • Ensure confidentiality and compliance with credentialing requirements

🎯 Requirements

• High School Diploma or equivalent required • Some college preferred • Proficient in Microsoft Office • Experience with payor enrollment with MediCal or other state Medicaid programs • Strong decision-making skills • Ability to multitask in a fast-paced environment • Focus on time management, documentation, and communication with providers, peers, and insurance companies • This position is available only to those who reside in the United States

🏖️ Benefits

• Medical, dental, and vision benefits • Paid time off • 401k • DailyPay • Tuition Assistance and dependent Scholarships • Employee Assistance Program (EAP) including free counseling and health coaching • Company paid life insurance • Tax free Health Spending Accounts (HSA) • Wellness program featuring fitness memberships and product discounts • Preferred banking partnership and discounted rates for home and auto loans • Ongoing training and development opportunities • Comprehensive benefits