Oversee the processing of initial payer applications for health professionals, ensuring compliance with national accreditation standards and state/federal regulations.
Maintain and manage payer credentialing databases and electronic records, ensuring accuracy, confidentiality, and audit readiness.
Liaison with medical staff leadership, payers, licensure boards, and regulatory agencies to resolve credentialing issues promptly.

Qualifications:

Minimum of 3 years in payer credentialing or healthcare administration.
Demonstrated experience with payer enrollment processes.
Strong knowledge of databases and Microsoft Office applications (Excel, Access, Word).

Technical Proficiency/Skills:

Hands-on experience with payer credentialing systems (e.g., CAQH, Medallion).
Strong organizational skills, attention to detail, communication, problem–solving, and knowledge of regulatory guidelines.

Theoria Medical

Theoria Medical provides comprehensive medical group and technology solutions to serve patients across the care continuum, with an emphasis on post-acute and primary care. They aim to improve the quality of care delivered, refine facility processes, and enhance critical relationships, serving facilities across the United States.

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