Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to assist in organizing and implementing various projects and programs related to provider credentialing.

Key Responsibilities

• Coordinates and performs all provider credentialing and re-credentialing services
• Analyzes provider contracts and applications for completeness and monitors credentialing documentation
• Utilizes credentialing databases and submits National Practitioner Database reports

Required Qualifications

• High school diploma or GED
• Certified Provider Credentialing Specialist (CPCS) preferred
• Minimum three (3) years of experience with provider credentialing and/or healthcare contracting preferred
• Minimum three (3) years in an administrative role