Credentialing/ Contracting Specialist

Excellent Flow is seeking a Credentialing Specialist to manage and oversee provider credentialing and enrollment processes with insurance carriers, hospitals, and regulatory entities. This role requires strong attention to detail, follow-up skills, and in-depth knowledge of credentialing requirements and compliance standards. The position serves as a key point of contact between providers, payers, and internal teams to ensure timely and accurate credentialing.

Key Responsibilities

• Manage end-to-end provider credentialing and recredentialing processes
• Prepare, submit, and track credentialing applications for insurance payers, hospitals, and facilities
• Serve as primary point of contact with insurance carriers, credentialing organizations, and provider offices
• Maintain accurate and up-to-date provider files, licenses, certifications, and supporting documentation
• Monitor credentialing timelines and ensure TIMELY FOLLOW-UP on pending...