TriumpHealth (www.triumphealth.com) provides technology-driven revenue cycle management, provider enrollment and credentialing solutions to healthcare providers, facilities, and organizations nationwide. We are seeking a Credentialing Specialist to manage provider enrollment activities, support client onboarding, and ensure accurate and timely completion of credentialing and payer applications.
Key Responsibilities
· Provide administrative and operational support to the Director of Credentialing and Contracting
· Coordinate client onboarding calls and track enrollment milestones, deadlines, application statuses, and deliverables
· Work with physicians, dentists, mental health providers, physical therapists, nurse practitioners, physician assistants, FQHCs, facilities, and DME suppliers on their credentialing and enrollment needs
· Request, review, organize, and maintain provider, facility, ownership, licensing, tax, and business entity documentation
· Prepare, review, and submit Medicare, Medicaid, commercial payer, CAQH, hospital privileging, and related enrollment applications
· Assist with Medicare reassignments, revalidations, changes of information, Medicaid MCO enrollment, NPI applications, and CMS Identity & Access authorizations
· Research payer-specific and state-specific enrollment requirements and identify missing or expiring documentation
· Maintain timely and professional communication with clients, providers, facilities, payer representatives, and internal team members
Qualifications
· Bachelor’s degree in Business, Healthcare Administration, or a related field
· Two to three years of experience in healthcare credentialing, provider enrollment, healthcare operations, or client services
· Working knowledge of Medicare, Medicaid, commercial payer, CAQH, and provider credentialing requirements
· Familiarity with provider licensing, business entity documentation, ownership disclosures, and payer enrollment portals
· Strong organizational, research, multitasking, documentation, and communication skills
· High proficiency in Excel, credentialing platforms, payer portals, and general business software
Join our team and help healthcare providers and organizations navigate complex enrollment and credentialing requirements while supporting accurate, compliant, and efficient client service.
Pay: From $40,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
