Credentialing Specialist

Job Title : Credentialing Specialist Maryland Healthcare Providers

Company : Elevate Calls Inc.

Location : Remote (Permanent Work From Home Position)

Position Overview

Elevate Calls Inc. is seeking a Credentialing Specialist with experience in Maryland healthcare credentialing to join our growing remote team. In this role, you will oversee the credentialing and enrollment processes for healthcare providers practicing in Maryland. Your work will be essential in ensuring compliance with state and federal regulations, as well as specific payer requirements.

Key Responsibilities

• Manage the credentialing and recredentialing processes for Maryland-based healthcare providers, including physicians, nurse practitioners, and allied health professionals.
• Ensure all provider files comply with Maryland state regulations , insurance guidelines, and national accreditation standards.
• Complete and submit credentialing applications and enrollment forms to commercial payers, Medicaid , and Medicare (via PECOS ).
• Maintain and update provider data in credentialing systems such as CAQH , NPPES , and internal databases.
• Track and monitor expirable items such as licenses, certifications, and recredentialing deadlines.
• Communicate professionally with insurance companies, government agencies, and internal departments to resolve credentialing-related issues.
• Stay up to date with Maryland payer requirements , credentialing laws, and healthcare regulations.
• Conduct background checks, verify credentials, and maintain accurate, complete provider profiles .

Qualifications

How to Apply

If you are a motivated credentialing professional with experience in Maryland healthcare , wed love to hear from you. Please send your resume to jobs@elevatecalls.com with the subject line :

Credentialing Specialist Maryland

We look forward to reviewing your application!

Industry

Employment Type

Full-time

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