Credentials Coordinator

Credentials Coordinator

Detroit

• Michigan

Specialist

Contract

We are seeking a Provider Credentialing/Enrollment Specialist. in the metro Detroit MI area. This is a Hybrid

This role is responsible for managing the credentialing and recredentialing process for healthcare providers and organizations to ensure compliance with state, federal, and NCQA accreditation standards.

Top Required Skills

• 2 to 5 years of relevant experience in:
• Provider enrollment medical practice, hospital business office, or contracting
• Credentialing processing experience (provider/practitioner/facility)
• Experience with CAQH
• Medical practice or hospital business office
• Healthcare contracting or related field

Knowledge of state & federal regulations (NCQA, CMS, DIFS, MDHHS) Proficiency in Microsoft Office (Word, Excel, Access, PowerPoint)

Preferred

• Experience participating in credentialing committees or audit processes
• Exposure to process improvement, job aids, or special projects
• Associates Degree

The position includes reviewing applications, verifying credentials through primary sources, maintaining accurate records, and communicating status updates to internal teams and providers. The role also supports audits, resolves inquiries, and may participate in committee meetings and special projects.

Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/

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