Credentialing & Enrollment Specialist

Knowledge of multi-state/national provider credentialing and/or enrollment

Experience with PECOS/Medicare and/or state Medicaid enrollment platforms

Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)

Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure

10 company holidays

Work From Home Stipend

401k Contribution Platform

Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!

helps us achieve our mission by ensuring our clinicians are properly credentialed and enrolled in payor networks to care for our patients.

The responsibilities include timely submission of credentialing and re-credentialing of Ophelia’s providers, and the enrollment of Physicians, Nurse Practitioners, and Physician Assistants in managed care organizations and government payors such as Medicare and Medicaid, as well as many commercial plans.

The Credentialing and Enrollment Specialist also maintains accurate provider records within various databases, including CAQH and payor portals.

The L&C Specialist works with a team of other specialists and collaborates closely with Clinical Operations, Billing, and Contracting teams to ensure our patient care functions smoothly.

The role reports to the Licensing and Credentialing Team Lead.