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Credentialing Specialist
Job Location:
Job Location:
Fort Collins, CO - USA
Hourly Salary:
USD 26 - 26
Hourly Salary:
Posted:
8 September 2026 (2 days ago)
Posted:
Application Deadline:
6 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Credentialing Specialist
Evenflow Solutions has a client that is searching for a goal-oriented and professional credentialing specialist to add to their team.
About the position:
JOB SUMMARY
The preferred candidate will be extremely organized able to work independently and conscientiously. The credentialing specialist will be accountable for all aspects of the enrollment credentialing recredentialing and the privileging processes for all medical providers who provide patient care. This person will oversee ensuring providers are credentialed appointed and privileged with health plans hospitals and patient care facilities. The credentialing specialist will be accountable for maintaining up-to-date data for each provider in the companys outsourced vendors credentialing database and online systems and be held accountable for timely renewal of provider licenses and certifications. To be successful at this position the successful candidate would need to be able to ensure accuracy confidentiality and prevalence of all information. The preferred candidate will have the ability to multitask several items and deadlines at once be reliable and have exceptional people skills.
Essential Functions:
To perform this job successfully he or she must be able to perform each essential duty satisfactorily with a high level of skill and organization. Reasonable accommodations will be made to enable qualified individuals with disabilities to perform the essential functions.
Acts as the credentialing liaison between providers and Companys outsourced credentialing vendor for timely assistance with the enrollment credentialing and privileging processes.
Works with practice location and surgery center managers as well as with Companys outsourced credentialing vendor to ensure that all providers are credentialed enrolled and privileged as appropriate.
Coordinates credentialing committees with ASCs and oversees the credentialing process to completion to ensure all providers are current and maintained.
Interfaces with internal and external customers on enrollment credentialing and privileging issues.
Responsible for provider license and DEA renewals as well as coordinating the renewal of provider board certification and lifesaving certificates.
Maintains accurate provider information and affiliations with CAQH PECOS NPPES and CMS.
Performs other job-related duties as assigned.
Enrollment
Engages with Companys outsourced contract management vendor to confirm payor agreements and other payor contracting details
Supports the entry of payer and practice location information in Companys outsourced credentialing vendors credentialing system.
Attaches payors to practice locations as necessary.
Confirms and reconciles in coordination w/Companys outsourced credentialing vendor that all providers have appropriate practice locations loaded in practitioner data.
Initiates credentialing vendor process for new providers to be added to group rosters with payors.
Initiates requests for existing providers to add or remove practice locations with payors.
Supports Companys outsourced credentialing vendor with payor directory validation requests.
Initiates requests to terminate providers with payors.
Provides any e-mails/correspondence/
Supports Medicare and Medicaid Revalidation efforts.
Credentialing
Confirms reconciles and maintains providers that should have privileges at ASC locations.
Confirms which ASC location each provider has privileges for.
Initiates Companys outsourced credentialing vendors process for new providers to be privileged at ASC locations.
Initiates Companys outsourced credentialing vendors process for existing providers to practice at an additional ASC location.
Coordinates package review with committee members.
Completes approval of providers for ASC locations through committee module in vendors credentialing system as needed.
Maintains meeting minutes as documents of record for committee approval as needed
Maintains and confirms accuracy of reappointment dates.
Maintains privileging forms
Privileging
Confirms reconciles and maintains lists of providers with outside privileges.
Confirms reconciles and maintains where providers have privileges.
Submits requests for new providers requiring outside privileges.
Provides any e-mails/correspondence/
Assists in obtaining information from providers when unresponsive to companys outsourced credentialing vendor.
POSITION QUALIFICATIONS
Competencies:
Must be extremely organized methodical and meticulous in your work product.
Excellent attention to detail.
Ability to research and analyze data.
Ability to communicate effectively both orally and in writing.
Ability to manage a large volume in a fast-paced environment.
Knowledge of medical credentialing and enrollment procedures and standards.
Ability to work independently.
Ability to use independent judgment to manage and impart confidential information.
Ability to make administrative/procedural decisions and judgments.
Ability to summarize complex issues into digestible summaries for presentation purposes.
Ability to establish and maintain effective working relationships with providers management staff and contacts outside the organization.
Ability to plan and prioritize daily weekly and monthly responsibilities.
Must have strong self-discipline and motivation to work in a virtual environment.
Proficient use of Microsoft office (Word Excel PowerPoint). Must be able to create tracking schedules and create simple grids in Excel for summary and presentation purposes.
Education & Experience Requirements:
High school diploma or GED required; bachelors degree preferred.
At least 2 years of medical provider credentialing experience within a multiple practice (MSO) model environment.
Working knowledge or experience w/Symplr outsourced credentialing services a plus.
Additional Job Details
This is a full-time remote position for those who currently reside in one of the following states: CO FL MA MI OR PA SC VA WY. Some travel may be required as needed and/or necessary.
Compensation for this role will be up to $26.00 per hour and will vary based on experience.
Our Employee Perks
PTO Accruals Start at 3 Weeks
Comprehensive Medical and Dental Insurance
Short Term and Long-Term Disability Insurances
Educational Allowance
Generous Paid Holiday Program
Requirment:
Evenflow Solutions (ES) is an Equal Opportunity Employer. ES provides equal employment opportunities to all applicants and employees without regard to race color religion sex age sexual orientation gender identity national origin disability marital status protected veteran status or any other characteristic protected by law.
Evenflow Solutions has a client that is searching for a goal-oriented and professional credentialing specialist to add to their team.
About the position:
- This will be a Full-time direct hire position for a great company
- This is a full-time remote position for those who currently reside in one of the following states: CO FL MA MI OR PA SC VA WY.
JOB SUMMARY
The preferred candidate will be extremely organized able to work independently and conscientiously. The credentialing specialist will be accountable for all aspects of the enrollment credentialing recredentialing and the privileging processes for all medical providers who provide patient care. This person will oversee ensuring providers are credentialed appointed and privileged with health plans hospitals and patient care facilities. The credentialing specialist will be accountable for maintaining up-to-date data for each provider in the companys outsourced vendors credentialing database and online systems and be held accountable for timely renewal of provider licenses and certifications. To be successful at this position the successful candidate would need to be able to ensure accuracy confidentiality and prevalence of all information. The preferred candidate will have the ability to multitask several items and deadlines at once be reliable and have exceptional people skills.
Essential Functions:
To perform this job successfully he or she must be able to perform each essential duty satisfactorily with a high level of skill and organization. Reasonable accommodations will be made to enable qualified individuals with disabilities to perform the essential functions.
Acts as the credentialing liaison between providers and Companys outsourced credentialing vendor for timely assistance with the enrollment credentialing and privileging processes.
Works with practice location and surgery center managers as well as with Companys outsourced credentialing vendor to ensure that all providers are credentialed enrolled and privileged as appropriate.
Coordinates credentialing committees with ASCs and oversees the credentialing process to completion to ensure all providers are current and maintained.
Interfaces with internal and external customers on enrollment credentialing and privileging issues.
Responsible for provider license and DEA renewals as well as coordinating the renewal of provider board certification and lifesaving certificates.
Maintains accurate provider information and affiliations with CAQH PECOS NPPES and CMS.
Performs other job-related duties as assigned.
Enrollment
Engages with Companys outsourced contract management vendor to confirm payor agreements and other payor contracting details
Supports the entry of payer and practice location information in Companys outsourced credentialing vendors credentialing system.
Attaches payors to practice locations as necessary.
Confirms and reconciles in coordination w/Companys outsourced credentialing vendor that all providers have appropriate practice locations loaded in practitioner data.
Initiates credentialing vendor process for new providers to be added to group rosters with payors.
Initiates requests for existing providers to add or remove practice locations with payors.
Supports Companys outsourced credentialing vendor with payor directory validation requests.
Initiates requests to terminate providers with payors.
Provides any e-mails/correspondence/
Supports Medicare and Medicaid Revalidation efforts.
Credentialing
Confirms reconciles and maintains providers that should have privileges at ASC locations.
Confirms which ASC location each provider has privileges for.
Initiates Companys outsourced credentialing vendors process for new providers to be privileged at ASC locations.
Initiates Companys outsourced credentialing vendors process for existing providers to practice at an additional ASC location.
Coordinates package review with committee members.
Completes approval of providers for ASC locations through committee module in vendors credentialing system as needed.
Maintains meeting minutes as documents of record for committee approval as needed
Maintains and confirms accuracy of reappointment dates.
Maintains privileging forms
Privileging
Confirms reconciles and maintains lists of providers with outside privileges.
Confirms reconciles and maintains where providers have privileges.
Submits requests for new providers requiring outside privileges.
Provides any e-mails/correspondence/
Assists in obtaining information from providers when unresponsive to companys outsourced credentialing vendor.
POSITION QUALIFICATIONS
Competencies:
Must be extremely organized methodical and meticulous in your work product.
Excellent attention to detail.
Ability to research and analyze data.
Ability to communicate effectively both orally and in writing.
Ability to manage a large volume in a fast-paced environment.
Knowledge of medical credentialing and enrollment procedures and standards.
Ability to work independently.
Ability to use independent judgment to manage and impart confidential information.
Ability to make administrative/procedural decisions and judgments.
Ability to summarize complex issues into digestible summaries for presentation purposes.
Ability to establish and maintain effective working relationships with providers management staff and contacts outside the organization.
Ability to plan and prioritize daily weekly and monthly responsibilities.
Must have strong self-discipline and motivation to work in a virtual environment.
- Experience within HIPPA and compliance-sensitive environments.
Proficient use of Microsoft office (Word Excel PowerPoint). Must be able to create tracking schedules and create simple grids in Excel for summary and presentation purposes.
Education & Experience Requirements:
High school diploma or GED required; bachelors degree preferred.
At least 2 years of medical provider credentialing experience within a multiple practice (MSO) model environment.
Working knowledge or experience w/Symplr outsourced credentialing services a plus.
Additional Job Details
This is a full-time remote position for those who currently reside in one of the following states: CO FL MA MI OR PA SC VA WY. Some travel may be required as needed and/or necessary.
Compensation for this role will be up to $26.00 per hour and will vary based on experience.
Our Employee Perks
PTO Accruals Start at 3 Weeks
Comprehensive Medical and Dental Insurance
Short Term and Long-Term Disability Insurances
Educational Allowance
Generous Paid Holiday Program
Requirment:
At least of 2 years of medical provider credentialing experience within a multiple practice (MSO) model environment.
Working knowledge or experience w/Symplr outsourced credentialing services a plus. Must have advanced knowledge of maintaining an accurate provider information and affiliations with CAQH PECOS NPPES and CMS.
Experience working in an Ophthalmology or Optometric environment
Very strong computer skills
Attention to detail
Evenflow Solutions (ES) is an Equal Opportunity Employer. ES provides equal employment opportunities to all applicants and employees without regard to race color religion sex age sexual orientation gender identity national origin disability marital status protected veteran status or any other characteristic protected by law.
Required Experience:
IC
