Credentialing Specialist (US Healthcare)

ISTA Solutions, an outsourcing / offshoring company, is in search of an experienced Healthcare Customer Service Representative to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Account specific roles and responsibilities

• Coordinate and manage the credentialing process for healthcare providers and facilities with payers, health plans, and other organizations.
• Ensure timely submission, tracking, and follow-up of all credentialing applications and re-credentialing efforts.
• Maintain accurate and complete provider records in internal databases and payer portals.
• Interpret and apply payer requirements and federal / state regulations to ensure compliance.
• Liaise with providers, internal teams, and external payer contacts to resolve credentialing issues and ensure smooth onboarding.
• Monitor expiration dates for licenses, certifications, and insurance, and initiate timely renewals.
• Assist in the execution and maintenance of provider contracts and agreements.

Requirements

Benefits

What can we offer you?

Our commitment to you