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Responsibilities
About Latino Pro:
Latino Pro connects top bilingual professionals from Latin America with U.S. companies seeking reliable, culturally aligned remote talent. Our mission is to create long-term remote career opportunities while delivering high-quality support to international clients.
Role Overview:
We are looking for a Credentialing Specialist to manage provider credentialing, recredentialing, payer enrollment, and CAQH maintenance. The role also supports provider onboarding and ensures compliance with insurance network requirements.
Responsibilities:
Manage provider credentialing and recredentialing processes
Maintain CAQH profiles and provider documentation
Coordinate provider onboarding and enrollment activities
Communicate with insurance payers regarding application status and updates
Track credentialing deadlines, renewals, and compliance requirements
Assist with contract reviews and support contract renegotiation efforts when needed
Requirements:
Minimum of two years of experience in insurance credentialing or related insurance operations
Experience with provider credentialing and payer enrollment
Proficiency with CAQH and insurance portals
Strong organizational and communication skills
High attention to detail and ability to manage multiple priorities
Preferred Qualifications:
Hospital credentialing experience
Knowledge of provider onboarding processes
Experience supporting contract negotiations or renegotiations
Fluent English; Spanish is a plus
This job post is closed.