Senior Medical Credentialing Expert Position Available In Miami-Dade, Florida
Tallo's Job Summary: BilliMD is hiring a Senior Medical Credentialing Expert in the USA. This full-time role involves leading credentialing staff, managing payer enrollments, negotiating contracts, and ensuring compliance with US healthcare regulations. The ideal candidate has 7+ years of credentialing experience, strong leadership skills, and proficiency in US payer requirements. The salary for this position ranges from $50,102.00 to $80,475.00 per year, with benefits including paid time off. Apply now to join a growing company and make a meaningful impact in healthcare.
Job Description
Senior Medical Credentialing Expert (Remote, USA)
Location:
Remote•
USA Job Type:
Full-time About the Role BilliMD is seeking a highly experienced Senior Medical Credentialing Expert with a strong background in contract negotiation and leadership . This individual will oversee credentialing and payer enrollments while leading and mentoring a team. The ideal candidate will have extensive experience working with US-based payers, including Medicaid and Medicare , and a proven ability to navigate contract negotiations successfully. The candidate must have a deep understanding of credentialing across the entire USA, including all state-specific requirements and payer processes . Key Responsibilities
- Lead and manage a team of credentialing professionals, ensuring efficiency, accuracy, and compliance.
- Oversee provider credentialing and enrollment with US-based payers, hospitals, and healthcare networks.
- Negotiate payer contracts, analyze reimbursement terms, and secure favorable agreements for providers.
- Ensure compliance with US healthcare regulations (CMS, CAQH, NCQA, etc.).
- Optimize credentialing workflows, ensuring timely submissions and renewals.
- Collaborate with leadership and cross-functional teams to enhance credentialing processes.
- Provide mentorship, training, and support to credentialing staff. Qualifications & Requirements
- 7+ years of experience in medical credentialing and contract negotiations .
- 3+ years of leadership or management experience, preferably in a healthcare setting.
- Extensive experience with all US payers, including Medicaid and Medicare .
- Strong knowledge of US healthcare payer requirements and credentialing regulations .
- Must understand credentialing across the entire USA, including state-specific requirements and payer processes .
- Proven expertise in contract negotiation and reimbursement structures .
- Excellent leadership, communication, and problem-solving skills .
- Proficiency in credentialing software, databases, and Microsoft Office Suite .
- Bachelor’s degree in Healthcare Administration, Business, or a related field preferred. Why Join BilliMD?
- Be part of a growing company dedicated to streamlining medical credentialing.
- Work remotely with a flexible and supportive team.
- Lead a team and make a meaningful impact in the healthcare industry.
- Competitive compensation and growth opportunities.
Ready to take the next step? Apply today!
Job Types:
Full-time, Contract Pay:
$50,102.00
- $80,475.
00 per year
Benefits:
Paid time off
Schedule:
8 hour shift
Work Location:
Remote
