Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to manage provider credentialing processes.

Key Responsibilities

• Prepare, submit, and follow up on initial and re-credentialing applications for providers and office locations
• Contact and respond to verification requests for credentials and licenses, ensuring timely completion of processes
• Maintain and update provider files and rosters, ensuring accurate documentation of application statuses

Required Qualifications

• Experience in credentialing processes within the healthcare industry
• Familiarity with payer databases and credentialing software
• Ability to work independently and manage multiple tasks efficiently
• Knowledge of health and safety regulations related to credentialing
• Proficiency in maintaining confidentiality of Protected Health Information (PHI)