Demo

Credentialing Specialist

Cipher Billing
Costa Mesa, CA Full Time
POSTED ON 2/24/2025
AVAILABLE BEFORE 8/19/2025

Job Purpose: Handles all facility provider profiles & contracts, including amendments, new contracts and contract maintenance. 


Job Duties and Responsibilities

  • Thoroughly completes all client contracting requests & provider profiles updates in a timely manner.
  • Utilizes a variety of systems to ensure proper information is being provided.
  • Communicates with clients to ensure an understanding of the credentialing process.
  • Communicates with clients to ensure we have proper documentation that follows payer requirements for credentialing.
  • Communicates with clients credentialing updates monthly.
  • Build rapport and relationships with contract representatives to ensure that all requirements are understood and followed.
  • Negotiate contract rates.
  • Responds to client inquiries and questions within 24 hours.
  • Tracks expired documentation and collects updated documents from from partners.


Preferred Qualifications

  • Experience with Credentialing and Contracting in a healthcare setting
  • Strong interpersonal skills with the ability to effectively engage, communicate, and build rapport with clients in a professional, client-facing environment.
  • Understanding of payer credentialing criteria and accreditation standards
  • Strong knowledge of healthcare regulations and accreditation standards
  • Ability to multitask, prioritize, and remain organized
  • Excellent analytical, communication, and problem-solving skills
  • Ability to work in a fast-paced environment and willingness to learn and adapt
  • Ability to work independently and collaboratively in a team-oriented environment


Salary : $26 - $28

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