Credentialing Specialist

About Optima Medical

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130 medical providers who care for more than 200000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities Live Better Live Longer through personalized healthcare with a focus on preventing the nations top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services behavioral health allergy testing and immunotherapy in-house lab testing imaging chronic disease management and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.

Key Responsibilities

• Manage initial credentialing recredentialing demographic updates and payer enrollment for providers across multiple states (AZ & NV)
• Monitor and track expiring licenses DEA registrations board certifications malpractice insurance and all other time-sensitive documents
• Maintain and update provider data in CAQH PECOS NPPES and payer portals to ensure accuracy and compliance
• Track and follow up on all credentialing and enrollment submissions weekly to ensure timely approvals
• Support provider onboarding including new state licensure and payer network participation
• Respond to health plan and payer inquiries resolving issues and missing documents
• Coordinate with internal departments (billing/operations) to communicate credentialing status updates and changes impacting claims or scheduling

Qualifications

• Minimum 2 years of healthcare credentialing or provider enrollment experience
• High level of professionalism with excellent written and verbal communication skills
• Strong working knowledge of CAQH PECOS NPPES
• Proficiency in Microsoft Excel (tracking reporting data management) and Microsoft Word
• Ability to manage high-volume workflows prioritize effectively and meet deadlines in a fast-paced environment
• Exceptional attention to detail organization and time management

Why join our team

• Substantial growth opportunities
• Leadership and mentoring
• Resources to further career
• Fun work environment (lunches events holiday parties)
• Benefits (medical/vision/dental/401k/paid holidays)
• Supportive and positive work environment