Change Healthcare ? Credentialing Specialist 1 ? Stafford Springs, CT
Posted 2025-03-17Job title: Credentialing Specialist 1
Company: Change Healthcare
Job description: Credentialing Specialist 1
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Work Location:
? Fully Remote - U.S.
Position:
The Credentialing Specialist will be responsible for processing all tasks related to payor enrollment for entities and individual providers - including new credentialing, revalidations, demographic verifications, CAQH maintenance, internal database management and reporting. Responsible for processing credentialing and recredentialing applications and/or enrollments of health care providers, responsible for entering, updating, maintaining NPI and any other applicable provider numbers into the system. Reviews applications, prepares verification letters and maintains database. Contacts medical office staff, licensing agencies, and insurance carriers to complete credentialing and recredentialing applications.
Core Responsibilities: ? Complete the processes to credential physicians to meet payer criteria. ? Enroll clients with participating insurances. ? Input information to credentialing software to have most current data. ? Maintain filing of all necessary credentialing documentation. ? Follow up with clients and insurances in accordance with established guidelines for all credentialing assignments. ? Communicate client issues with management at an early stage. ? Be able to communicate with physicians, physician staff, Operations Managers, and insurance companies clearly and effectively, handling basic questions dealing with the day-to-day operation of credentialing and enrollments. ? Have prompt response time to voice mail, email, and other requests whether it is from supervisors, co-workers or clients. ? Have professional verbal and written communication skills. ? Work well under difficult circumstances and tight timelines. ? Know how to prioritize throughout the day as workflow changes. ? Perform all other tasks as requested by senior management.
Requirements: ? 1 - 3 years of work experience ? Undergraduate degree or equivalent work experience ? Minimum of 1 year credentialing experience
Preferred Qualifications: ? At least an intermediate proficiency of Office 365 products, especially Excel and Outlook. ? Ability to communicate professionally (grammar and composition) with internal and external clients. ? Forward-thinking and self-directed. ? Able to read/listen to directions and follow them precisely. ? Able to meet productivity standards outlined in department metrics.
Working Conditions/Physical Requirements: ? Home Office
Unique Benefits*:
? Flexible work environments
? Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets
? Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships
? Employee wellbeing programs and generous health plans
? Educational assistance programs
? US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions
? Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies
? Learn more at
? *Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor.
Diversity and Inclusion:
? At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
? Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at
Feeling Inspired? Ready to #MakeAChange? Apply today!
Diversity and Inclusion:
? ?At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
? ?Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at
Feeling Inspired? Ready to #MakeAChange? Apply today!
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when job-related and consistent with business necessity, we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information,? national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at .
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [email protected]? with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.
Click here ? to view our pay transparency nondiscrimination policy.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood? .
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Expected salary:
Location: Stafford Springs, CT
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