Credentialing Specialist

Job Summary

A company is looking for a Delegated Credentialing Specialist, Temp.

Key Responsibilities

• Initiate and support the practitioner application process and ensure data completeness for payor enrollment
• Enroll providers with client payors and maintain accurate data in credentialing databases
• Monitor and verify practitioner credentials, respond to inquiries, and participate in process improvement initiatives

Required Qualifications

• Proficient in using payor websites and software related to provider applications and credentialing
• 3-5 years of experience in medical credentialing processes and delegated credentialing requirements
• Associate's degree or equivalent combination of education and experience
• Certified Provider Credentialing Specialist (CPCS) or Provider Enrollment Specialist Certificate (PESC) preferred
• Knowledge of primary source verification and relevant regulations