calpionplutus

calpionplutus

Client Success Manager - Provider Credentialing

Dallas, Texas

Sponsorship not specifiedDetected 4 days ago
ComplianceSalesExcelProcess ImprovementHIPAAPatient CareResearchCommunication

About the role

  • 5000 list of America's Fastest-Growing Private Companies, honored in the SMU Cox Dallas 100™ for multiple consecutive years, and recognized by Black Book Research as a leading healthcare RCM solutions provider.
  • Role Summary Plutus Health is seeking a detail-oriented and proactive Client Success Manager - Provider Credentialing to join our U.S. Client Success Manager credentialing team.
  • Should have a good understanding of initial credentialing, re-credentialing, and enrollment processes for providers across Medicare, Medicaid, and commercial payers.

Responsibilities

  • Collaborate with the sales team to support and enhance sales initiatives
  • Maintain credentialing trackers and ensure data accuracy.
  • Support audits and ensure compliance with HIPAA and payer-specific guidelines.
  • This role is critical to maintain operational efficiency and timely provider onboarding across multiple clients and specialties.
  • Initiate phone calls and build rapport with the payer enrollment department to accelerate the

Requirements

  • 7+ years of experience in U.S. provider credentialing.
  • Familiarity with CAQH, PECOS, NPPES, and payer-specific portals (e.g., Anthem, Optum, Medicaid MCOs).
  • Proficiency in Microsoft Excel, credentialing databases, and tools.
  • Experience handling credentialing for various specialties and multi-state providers.
  • Familiarity with payer-specific credentialing nuances and timelines.
  • Collaborate with the offshore team to identify missing documentation and coordinate with the client to obtain the required information
  • Coordinate with internal teams and clients to gather required documentation and resolve discrepancies.

Nice to have

  • Preferred Attributes

Benefits

  • About Plutus Health Inc.:
  • We are proud to be recognized by Becker's Healthcare as one of the Top Revenue Cycle Management Companies to Know (2026), featured on the Inc.
  • Plutus Health is seeking a detail-oriented and proactive Client Success Manager - Provider Credentialing to join our U.S. Client Success Manager credentialing team.
  • You will be responsible for working with the offshore team in providing the end-to-end credentialing process for healthcare providers, ensuring compliance with payer requirements and regulatory standards.
  • Verify provider credentials including licenses, certifications, education, and work history.

Visa & Work Authorization

  • CAQH, PECOS, NPPES, OIG, SAM, MEDICAID EXCLUSION, MEDICARE OPT OUT LIST, SOCIAL SECURITY DEATH MASTER FILE.
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