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Credentialing Specialist

  • Full Time
  • Anywhere

PRISM Vision Group

PRISM Vision Group is seeking a detail-oriented Credentialing Specialist to join our team in the US and play a critical role in ensuring providers are accurately enrolled and credentialed across all relevant payer systems.

About the Role

As a Credentialing Specialist at PRISM Vision Group, you will be responsible for managing the full lifecycle of provider credentialing and payer enrollment. This full-time, on-site position requires someone who thrives in a fast-paced healthcare environment and takes ownership of accuracy, timeliness, and cross-functional collaboration.

Key Responsibilities

  • Enter, update, and maintain current and accurate provider data within CAQH, CredentialStream, and other credentialing and payer enrollment platforms
  • Collaborate with providers, internal teams, and colleagues to gather the documentation needed for smooth and timely provider onboarding
  • Prepare, submit, and thoroughly document credentialing applications while proactively monitoring status and following up to ensure completion
  • Serve as a reliable point of contact for credentialing inquiries across departments
  • Identify and resolve discrepancies or gaps in provider information to maintain compliance with payer requirements

Qualifications

  • Prior experience in healthcare credentialing, payer enrollment, or a related administrative role
  • Familiarity with credentialing tools such as CAQH and CredentialStream
  • Strong organizational skills with the ability to manage multiple providers and deadlines simultaneously
  • Excellent written and verbal communication skills for working with providers and internal stakeholders
  • High attention to detail and a commitment to data accuracy

About PRISM Vision Group

PRISM Vision Group is a leading eye care organization dedicated to delivering exceptional patient outcomes across its network of providers. The team is built on a foundation of clinical excellence and operational integrity, making every support role — including credentialing — essential to the organization's mission.

How to Apply

Interested candidates can submit their application for the Credentialing Specialist position at PRISM Vision Group by visiting the full job listing and applying here.

To apply for this job please visit www.adzuna.com.

About this role & career path

Working in US

The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic consisting of 50 states and a federal capital district, Washington, D.C. The 48 contiguous states border Canada to the north and Mexico to the south, with the semi-exclave of Alaska in the northwest and the archipelago of Hawaii in the Pacific Ocean. The United States also asserts sovereignty over five major island territories and various uninhabited islands in Oceania and the Caribbean. It is a megadiverse country, with the world's th

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