Credentialing Analyst

Job Summary

Working remotely on a PRN basis, the Credentialing Analyst will manage the credentialing primary source verification process, ensuring compliance with regulatory standards while maintaining applicant information in a complex database.

Key responsibilities

• Tracks and processes initial and re-credentialing applications, ensuring timely follow-up on non-returned applications
• Conducts primary source verification for applications, comparing received information with applicant data for accuracy
• Maintains the integrity of the credentialing database and serves as a liaison with affiliated hospitals and medical staff administration

Required qualifications

• High School Diploma or GED required; Associate's or Bachelor's degree preferred
• 3-4 years of experience in credentialing or equivalent experience required
• Certified Provider Credentialing Specialist (CPCS) or Certified Medical Professional Services Management (CPMSM) preferred
• Working knowledge of general office practices, software applications (MS Office), and database management
• Demonstrated understanding of credentialing policies and procedures, including accreditation and regulatory requirements