L2 – Credentialing & Contracting Specialist ( THE KEY )

Wonderworth Solutions

The Role:

You are responsible for provider credentialing — ensuring providers are enrolled with payers so the revenue cycle can begin. You handle application filing, tracking, and follow-ups until activation with zero drop-offs.

What You Will Own – Your Responsibilities :

Opportunity identification — monthly review of insurance panel openings relevant to your providers
Pre-application analysis — gathering provider documents, validating completeness, and confirming regulatory compliance before any application begins
Application filing — completing forms accurately and verifying every detail against payer requirements
Submission and tracking — submitting applications, confirming receipt, and monitoring status until the provider is active
Provider escalation management — resolving document issues, renewals, and urgent requests within 48 hours

For C&C Standalone clients, you additionally own:

End-to-end contracting — managing the full provider contracting process without RCO handoff
Relationship closure — formally documenting and closing the engagement once credentialing and contracting are complete

Non-Negotiable Metric

Provider Enrollment Success Rate

90%
Percentage of submitted applications resulting in active enrollment.

The Fight: What You will Fight:

Administrative paralysis.
A provider stuck in “pending” cannot bill, cannot serve patients, and eventually loses trust in the process.

The enemy is:

The application sitting in a payer queue with no follow-up

The document that expired without notice

The missing update because no one tracked it

On the CCT team:
Nothing ages without a documented status and a next action.

WHO THRIVES HERE : Three Traits We Cannot Teach

Relentless follow-up — Pending is not done. You track, follow up, and close.
Structured under pressure — You manage multiple applications without losing control
Accuracy obsession — One wrong detail is not a mistake — it’s a delay

THE WWS PERKS :

Full Training — Learn credentialing, contracting, and payer systems from day one
Process Clarity — Clear ownership and defined workflows
Career Growth — Deep exposure to the foundation of revenue cycle operations
Impact Visibility — Your work directly enables providers to start billing
Ownership Culture — We reward people who take complete accountability

Qualifications:

Experience: Minimum 3+ years of experience in analysis or documentation-related roles
Education: Bachelor’s degree in any discipline
Communication: Ability to coordinate with payers and providers effectively
Persistence: Strong follow-up mindset — no dropped applications
Documentation: Clear, structured, and audit-ready documentation skills