Medical Credentialing Specialist

Role Overview

Fisher Health System is seeking a detail-oriented and highly organized Medical Credentialing Specialist to join our growing administrative division. This role is essential in supporting our providers and ensuring seamless operations across our expanding healthcare network.

What You Will Do

Manage initial credentialing and re-credentialing for providers with commercial and government payers, submit and monitor payer enrollment applications, and communicate with insurance carriers regarding application status and discrepancies.

Why It Might Be a Fit

To support efficient workflows, Fisher Health System utilizes integrated EMR systems and streamlined administrative processes that enhance accuracy, compliance, and communication across departments.

Requirements

• High school diploma required; Associate’s or Bachelor’s degree preferred
• Minimum 5 years of medical credentialing experience preferred
• Minimum 5 years of medical billing experience preferred
• Experience working with EMR systems
• Familiarity with CAQH, PECOS, and payer portals preferred

Benefits

• 401(k)
• Bonus based on performance
• Company parties
• Competitive salary
• Flexible schedule
• Health insurance
• Opportunity for advancement
• Paid time off

Originally posted on Himalayas