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Credentialing Onboarding Specialist, CAQH
Sailor Health. Coordinate provider system enrollments and required Medicare enrollment actions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating provider credentialing and enrollment activities while maintaining accurate CAQH profiles and compliance with Medicare requirements. Excels in developing and improving standard operating procedures to optimize provider network operations.
Highest-signal resume keywords
Provider Credentialing CoordinationMedicare Enrollment TrackingCAQH Profile MaintenanceStandard Operating Procedure DevelopmentCollaboration With Internal Stakeholders
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider Enrollment ActionsCredentialing ProcessesDocument ManagementData Accuracy MaintenanceDeadline Tracking
Soft Skills
Organizational SkillsProactive Problem SolvingEmpathetic CommunicationSound JudgmentFollow-Through
Industry Keywords
CredentialingProvider Network OptimizationMedicare ComplianceRCM SupportCAQH
About the role
Key responsibilities & impact- Coordinate provider system enrollments and required Medicare enrollment actions
- Ensure providers connect to appropriate profiles and systems and complete applications and documents on time
- Maintain complete, accurate, and current CAQH profiles and provider data
- Serve as a primary credentialing point of contact for providers
- Answer provider questions, communicate required actions, and follow up on outstanding items
- Monitor enrollment requirements, deadlines, correction requests, notices, and signature requests
- Collaborate with Credentialing and RCM Support to align priorities and resolve credentialing and enrollment blockers
- Develop, document, and continuously improve credentialing standard operating procedures
- Support a compliant, current, and optimized provider network
Requirements
What you’ll need- Extremely organized with airtight follow-through
- Proactive and comfortable with ambiguity
- Sound judgment regarding urgency, ownership, and escalation
- Warm, empathetic communication style
- Ability to coordinate provider credentialing and enrollment activities
- Ability to maintain accurate CAQH profiles, provider credentials, licenses, and practice information
- Ability to track Medicare enrollment actions, signatures, corrections, notices, deadlines, and outstanding requirements
- Ability to collaborate with Credentialing, RCM Support, and other internal stakeholders
- Ability to build, document, and improve standard operating procedures
- Full-time remote availability in the United States
Benefits
Comp & perks- Remote work flexibility
- Growth and ownership opportunities
- Mission-driven work supporting older adults
- Collaborative remote-first team environment