Credentialing & Enrollment Specialist

Ensure Ophelia’s clinicians are credentialed and enrolled in payor networks so patients can receive care smoothly. Review and verify initial and reappointment applications, coordinate committee review, and manage timely submissions for licenses and DEA/CSR. Follow up with providers and payors (including Medicare, Medicaid, and MCOs), monitor enrollment status, and maintain accurate provider records in systems such as CAQH and payor portals.