Credentialing Support Specialist

The Credentialing & Contracting Specialist supports the agency’s credentialing and payer contracting processes to ensure clinicians and programs are enrolled accurately and in a timely manner. This role focuses on Medicaid and commercial provider enrollment, facility credentialing, tracking revalidations, and maintaining accurate documentation. The position supports organizational growth, compliance, and timely billing.

Responsibilities

• Complete payer enrollments and support onboarding of new licensed staff

• Track and maintain licenses, certifications, and credentialing documents

• Collaborate with Utilization Management to ensure staff and sites are properly credentialed

• Maintain credentialing systems (CAQH, NCTracks, commercial payers) and ensure data accuracy

• Follow up with payers on application status, resolve issues, and monitor progress

• Communicate updates with leadership, billing, finance, and clinical teams

• Track revalidation deadlines and ensure compliance

• Maintain reliable attendance and adherence to schedule