Credentialing Specialist (47605)

Job DetailsJob Location: SouthPark, Corporate - Charlotte, NC 28210Why Join CEENTA?

CEENTA is the premier eye, ear, nose, and throat group in the Carolinas. You’ll join a supportive, mission-driven team committed to providing exceptional patient care, ethical healthcare practices, and a collaborative work environment.

CEENTA is seeking a highly detail-oriented Credentialing Specialist to support provider enrollment and credentialing processes. This role is vital to ensuring providers are properly credentialed and compliant with all regulatory and payer requirements, helping maintain seamless patient care and operational efficiency.

What You Will Do

Maintain individual provider files to include up-to-date information needed to complete the required governmental and commercial payer credentialing applications
Maintain accurate provider profiles on CAQH, NPPES and CMS databases
Complete credentialing applications to add providers to commercial payers, CMS and Medicaid
Complete re-credentialing requests issued by government and commercial payers
Verify and maintain provider hospital privileges within CredentialStream
Ensures all individual provider locations within the practitioner database match the CEENTA location reports
Work closely with the Business Office to identify and resolve any denials or authorization issues related to credentialing
Maintain the provider flu and PPD grids and forward to appropriate staff
Update and/or provide verification of all payer directories via electronic submission, email (spreadsheets) and/or phone
Provides profile updates/verifications for active and termed CEENTA providers to various facilities
Maintain internal tracking tools
Submit reports and respond to inquiries

A Typical Day

You’ll spend most of your day managing credentialing data, completing applications, updating provider records, and responding to inquiries.

Schedule

Full-time, Remote/hybrid scheduled hours typically fall Monday–Friday, 8:00 a.m. – 5:00 p.m.
QualificationsWhat You’ll Bring

High school diploma or GED, required
Minimum of 2 years’ credentialing experience, highly preferred
NAMSS CPSC certification (preferred but not required)
Experience with credentialing systems
Strong MS Office skills
Detail-oriented and organized
Strong communication skills