Responsibilities

Manage provider system enrollments: Coordinate with providers to ensure they complete required Medicare enrollment actions, connect to the appropriate profiles and systems, and sign applications and other documents on time.
Maintain provider data: Keep CAQH profiles complete, accurate, and up to date, ensuring provider credentials, licenses, and practice information are properly maintained.
Support providers: Serve as a primary credentialing point of contact for providers, answering questions, communicating required actions, and following up on outstanding items.
Monitor enrollment requirements: Track provider actions, signature requests, correction requests, notices, deadlines, and other outstanding requirements to keep Medicare enrollment moving forward.
Collaborate across teams: Partner with internal stakeholders, including Credentialing and RCM Support, to align priorities, communicate progress, and resolve credentialing and enrollment blockers.
Develop and maintain SOPs: Build, document, and continuously improve standard operating procedures for credentialing workflows and ensure they are incorporated into day-to-day operations.
✅ What We’re Looking For
This role isn’t for everyone. It’s fast-paced, chaotic, and requires hard work. But if this excites you, we’d love to meet you.
Extremely organized, with airtight follow-through. You catch issues early and never leave something unresolved without a plan to close it out. Colleagues can trust that once something lands with you — in Slack, email, or a call — it's handled, without needing to be reminded.
Proactive, and comfortable with ambiguity. You take initiative without being asked, and when instructions or processes are unclear, you find a path forward and build structure rather than waiting for direction.
Sound judgment on urgency and ownership. You know when something is a drop-everything issue versus one that can wait a few hours, and you know what's yours to solve versus what you should escalate.
Warm, empathetic communicator. You bring genuine warmth to every conversation — clear, kind, and easy to work with, even with a difficult provider on the other end.

Credentialing Onboarding Specialist (CAQH) at Sailor Health · LumiJobs

Credentialing Onboarding Specialist (CAQH)

Responsibilities

Benefits

Company

Sailor Health

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