Credentialing Specialist jobs in United States
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Valle del Sol · 1 day ago

Credentialing Specialist

Valle del Sol is committed to providing quality, culturally sensitive integrated primary care and behavioral health services. The Credentialing Specialist is responsible for the timely credentialing, recredentialing, and payer enrollment of all independently licensed providers, ensuring they are properly credentialed and contracted with applicable payers to support compliant billing and revenue.

FamilyHealth CareNon ProfitService Industry
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Responsibilities

Responsible for the timely credentialing, recredentialing, and payer enrollment of all independently licensed providers across Valle del Sol’s medical and behavioral health services
Ensure providers are properly credentialed, contracted, and rostered with all applicable payers to support compliant billing, PPS reimbursement, and uninterrupted revenue
Manage credentialing activities proactively in collaboration with internal teams and external payers

Qualification

Healthcare credentialing experienceAdvanced computer skillsNavigating health plan systemsAttention to detailIndependent work

Required

High School Diploma or GED required
Minimum three (3) years of healthcare credentialing experience required
Advanced computer skills in Microsoft Word, Excel, Outlook, and web-based applications
Strong attention to detail with the ability to work independently and manage competing priorities
Demonstrated ability to navigate complex health plan systems and payer portals
Must possess reliable transportation, a valid driver's license, and proof of auto insurance
Must have or be able to obtain a valid Fingerprint Clearance Card
Flu vaccination or qualified medical or religious exemption required

Benefits

401(k)
401(k) matching
Medical Insurance
Dental Insurance
Vision Insurance
Paid Life Insurance
Paid Disability Insurance
Paid time off
Employee assistance program
Employee discount
Professional development assistance
Referral program

Company

Valle del Sol

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Valle del Sol offers healthcare, human services, and leadership development programs.

Funding

Current Stage
Growth Stage
Total Funding
$3M
Key Investors
United Health Foundation
2021-05-26Grant· $3M

Leadership Team

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Mike Renaud
Chief Executive Officer
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Angelina Bravo
Chief Development and Marketing Officer
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Company data provided by crunchbase