RCM Credentialing Specialist / Payor Enrollment Specialist

UnisLink

Credentialing Specialist responsible for maintaining provider credentials and ensuring compliance for UnisLink. Collaborating with departments to streamline credentialing processes and documentation.

Posted 7/31/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare credentialing processes, including provider enrollment, application review, and compliance with regulations. Proficient in utilizing critical thinking and organizational skills to maintain accurate databases and ensure high-quality standards.

Highest-signal resume keywords

Healthcare Credentialing ExperienceProvider Enrollment ExperienceHospital Credentialing ExperienceKnowledge of Insurance LawMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credential ReviewApplication ProcessingDatabase ManagementCompliance Regulation MaintenanceCritical Thinking

Soft Skills

Interpersonal SkillsOrganizational SkillsProfessional CommunicationProblem-Solving

Industry Keywords

CMSFDCPAHIPAAPayer RequirementsReimbursement Methods

About the role

Key responsibilities & impact

As a Credentialing Specialist for UnisLink, you will be responsible for the collection and input of all providers demographic information onto applications or payer systems
Collaborate with various departments to gather necessary documentation, conduct thorough credential reviews, and maintain accurate databases of provider credentials
Processing initial credential applications, re-credentialing applications, and privileging requests efficiently and accurately
Process provider applications and re-applications, initial mailing, review and loading into the database tracking system ensuring high quality standards are maintained
Renew medical licensure, hospital privileges and board certifications, DEA registrations and any other required credentialing documents for provider
Prepare weekly and monthly updates as requested
Utilize critical thinking skills to reconcile errors/updates in a timely manner
Provide application and technical support to other team members and clients
Develop and maintain documentation that assures the credentialing processes are complete and accurate
Conduct professional oral and written communications with Client’s staff, facility staff, payor sources and clients as needed
Comply with all state and federal billing rules and regulations including CMS, FDCPA, HIPAA, etc.
Participate in identifying problems and suggesting solutions.
Promote Unislink’s core values of Respect, Integrity, Customer Focus, and Continuous Improvement.

Requirements

What you’ll need

Previous healthcare credentialing experience
The ideal candidate has payor/provider enrollment experience AND hospital credentialing experience
Basic knowledge of insurance law, guidelines, and application language, in addition to payor requirements such as specific form requirements and reimbursement methods
Proven ability to utilize critical thinking skills to demonstrate proficiency in reviewing applications and identifying requirements posed by individual payers
Highly organized to meet deadlines and work independently in a fast paced, multi-functional environment where tasks and assignments are constantly changing
Knowledge of Microsoft Office programs and tools
Experience assisting clients with maintenance of current compliance regulations
Demonstrates strong interpersonal skills with the ability to establish and maintain effective working relationships with staff, external agencies and clients
Prompt and dependable attendance
Values a high level of confidentiality and professionalism.

Benefits

Comp & perks

Medical, dental and vision insurance for you and your dependents
Healthcare Flexible spending accounts are available options
401(k) retirement plan with up to 4% match and no vesting period
Paid parental leave
10 days of Paid Time Off (PTO) and 8 company paid holidays annually