Join to apply for the Credentialing Specialist I Provider Enrollment role at Sentara Health
OverviewSentara Health is hiring a Payor Enrollment Credentialing Specialist I for the Provider Credentialing Department. This is a full‑time, 40‑hour per week Day shift position (Mon‑Fri 7:00am‑5:00pm).
LocationNorfolk, VA (remote in certain states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming).
Responsible for ensuring that healthcare professionals and providers meet the necessary qualifications and comply with all regulatory and accreditation standards. This role involves gathering and verifying a variety of documents and information, coordinating with healthcare providers, and maintaining accurate and up‑to‑date credentialing files.
Education- High School Diploma
- CPCS - Certified Provider Credentialing Specialist (Preferred)
- Minimum of 1 year of directly related experience (e.g., CVO, MCO, HMO, or Hospital‑Based Credentialing (MSO)).
Talroo‑Health Plan, Monster, Linked In, Credential Stream, excel, data analysis, accounts receivable, Epic, revenue cycle, billing, provider not enrolled denials, appeals, onboarding, MPI, CAQH, CVO, MCO, HMO or Hospital Based Credentialing (MSO).
Benefits:Caring For Your Family and Your Career
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long‑Term, Short‑Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Annual discretionary bonus if eligibility criteria met
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its workforce.
In support of our mission “to improve health every day,” this is a tobacco‑free environment.
Seniority level- Entry level
- Full‑time
- Health Care Provider
- Hospitals and Health Care
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