Provider Credentialing & Accounts Receivable Specialist
CoreLifeLinthicum, MD, US30+ days ago
Job type
- Full-time
- Quick Apply
Job descriptionPrepare and submit provider enrollment applications and supporting documentation across multiple payers. Maintain accurate and compliant records for licenses, certifications, and insurance contracts. Track and process new enrollments, revalidations, ERN / ERA submissions, and roster updates. Coordinate with HR, providers, and billing teams to streamline onboarding and credentialing processes. Manage CAQH profiles and update PECOS and NPPES as needed. Maintain HIPAA-compliant credentialing files and communication with payer credentialing teams. Review and manage aging A / R > Address denied claims, rework errors, file appeals, and communicate with payers as needed. Monitor payer reimbursements against contracted rates. Provide coverage and support across the team during absences or high-volume periods. High school diploma or equivalent. Minimum 3 years of experience in provider credentialing and / or medical billing. Experience with PECOS and ePREP. Knowledge of payer requirements and CPT / ICD-10 coding. Associate or Bachelor’s degree in healthcare, business, or related field. 5+ years of experience in credentialing and A / R management. Experience with EPIC and NextGen. Familiarity with NCQA standards and processes. 🧠 Skills & Abilities Exceptional attention to detail and organizational skills. Ability to multitask, prioritize, and work independently. Strong problem-solving and critical thinking capabilities. Excellent communication and interpersonal skills. Proficiency with Microsoft Excel and payer web portals. Commitment to confidentiality and HIPAA compliance. 💙 Why CoreLife? At CoreLife, we are committed to delivering exceptional patient outcomes and creating a supportive, respectful environment for our team. You’ll be part of an innovative, growing company dedicated to transforming healthcare through integrated, whole-person care. Powered by JazzHR
📢 Now Hiring :
- Provider Credentialing & Accounts Receivable Specialist Location : Linthicum, MD Reports To : Vice President, RCM Operations Employment Type : Full-Time CoreLife is seeking a detail-oriented and highly motivated Provider Credentialing & Accounts Receivable Specialist to join our team.
- This dual-function role is critical in ensuring accurate provider enrollment, maintaining credentialing compliance, and supporting revenue cycle operations.
If you have a strong background in medical credentialing, payer enrollment, and A / R management—and enjoy working in a fast-paced, mission-driven environment—we’d love to hear from you! 🔍 Key Responsibilities Credentialing & Enrollment :
Accounts Receivable Management :
30 days, ensuring timely follow-up and maximum reimbursement.
Work within EPIC and NextGen systems, and utilize EMR tools for charge entry and collections tracking. 📚 Qualifications Required :
Preferred :
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Credentialing Specialist • Linthicum, MD, US
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