Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to manage provider credentialing and maintain compliance.

Key Responsibilities

• Serve as the credentialing liaison with third-party payers
• Process applications, verify information, and maintain accurate provider data in the credentialing database
• Collaborate with the Credentialing Manager and billing staff to resolve credentialing-related issues

Required Qualifications

• 2-3 years of billing and credentialing experience
• Deep knowledge of HIPAA standards of operations
• Familiarity with major payer portals and CAQH management
• Access to consistent, high-speed internet
• Ability to work independently and meet deadlines