Job Summary

ExcellentFlow Management Solutions, Inc. is seeking an experienced Credentialing Specialist to manage all aspects of provider credentialing, enrollment, recredentialing, and contract administration. The adecuado candidate has a strong understanding of the healthcare credentialing process, payer requirements, and provider enrollment procedures, with the ability to work independently while managing multiple deadlines.

This position requires a minimum of one (1) year of verifiable experience in healthcare provider credentialing. Applicants without credentialing experience will not be considered.

Candidates must be able to provide proof of previous credentialing accomplishments, such as successful payer enrollments, completed credentialing projects, references, or other evidence demonstrating hands-on experience.

Key Responsibilities
- Compile, maintain, and update accurate credentialing records for all healthcare providers.
- Complete and submit provider credentialing, enrollment, and recredentialing applications.




- Monitor application status and proactively follow up with insurance companies, health plans, hospitals, and credentialing organizations until completion.
- Maintain current copies of provider licenses, certifications, DEA registrations, malpractice insurance, board certifications, NPI information, and all other required credentialing documents.
- Track expiration dates for licenses, certifications, malpractice insurance, contracts, and other credentials to ensure timely renewals.
- Maintain provider contract files and credentialing documentation.
- Ensure provider demographic information remains accurate and updated with all health plans, IPAs, medical groups, hospitals, and government agencies.
- Set up, maintain, and update provider information in online credentialing portals and databases.
- Review payer contracts, compare reimbursement terms, summarize key differences, and present findings to management.
- Research payer requirements and re

📌 Credentialing Specialist (México)
🏢 Friendlysoft Technology
📍 México