Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to ensure clinical staff meet necessary requirements and maintain provider files.

Key Responsibilities

• Verify credentials and qualifications of providers and process funder applications
• Maintain up-to-date provider files and manage credentialing tasks assigned by management
• Communicate with payors for inquiries and updates related to credentialing submissions

Required Qualifications

• High school diploma required; associate's degree preferred
• Minimum of 2+ years of credentialing experience
• Experience with CAQH database and application process
• Working knowledge of credentialing regulations, policies, and procedures