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Wonder Worth Solutions

THE KEY: Credentialing & Contracting Specialist

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  • Posted 22 hours ago
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Job Description

The Role

You are responsible for provider credentialing — ensuring providers are enrolled with payers so the revenue cycle can begin. You handle application filing, tracking, and follow-ups until activation with zero drop-offs.

What You Will Own – Your Responsibilities

  • Opportunity identification — monthly review of insurance panel openings relevant to your providers
  • Pre-application analysis — gathering provider documents, validating completeness, and confirming regulatory compliance before any application begins
  • Application filing — completing forms accurately and verifying every detail against payer requirements
  • Submission and tracking — submitting applications, confirming receipt, and monitoring status until the provider is active
  • Provider escalation management — resolving document issues, renewals, and urgent requests within 48 hours

For C&C Standalone Clients, You Additionally Own

  • End-to-end contracting — managing the full provider contracting process without RCO handoff
  • Relationship closure — formally documenting and closing the engagement once credentialing and contracting are complete

Non-Negotiable Metric

  • Provider Enrollment Success Rate 90%
  • Percentage of submitted applications resulting in active enrollment.

The Fight: What You will Fight:

Administrative paralysis.

A provider stuck in pending cannot bill, cannot serve patients, and eventually loses trust in the process.

The Enemy Is

  • The application sitting in a payer queue with no follow-up
  • The document that expired without notice
  • The missing update because no one tracked it

On The CCT Team

Nothing ages without a documented status and a next action.

WHO THRIVES HERE : Three Traits We Cannot Teach

  • Relentless follow-up — Pending is not done. You track, follow up, and close.
  • Structured under pressure — You manage multiple applications without losing control
  • Accuracy obsession — One wrong detail is not a mistake — it's a delay

The Wws Perks

  • Full Training — Learn credentialing, contracting, and payer systems from day one
  • Process Clarity — Clear ownership and defined workflows
  • Career Growth — Deep exposure to the foundation of revenue cycle operations
  • Impact Visibility — Your work directly enables providers to start billing
  • Ownership Culture — We reward people who take complete accountability

Qualifications

  • Experience: Minimum 3+ years of experience in analysis or documentation-related roles
  • Education: Bachelor's degree in any discipline
  • Communication: Ability to coordinate with payers and providers effectively
  • Persistence: Strong follow-up mindset — no dropped applications
  • Documentation: Clear, structured, and audit-ready documentation skills

Contact us on [Confidential Information] / 9047477375

To Apply: https://careers.wonderws.com

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Job ID: 146084889