Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist responsible for facilitating the centralized verification office program and serving as the primary credentialing liaison.

Key Responsibilities

• Facilitate all aspects of the Primary Source Verification program, ensuring accuracy in verification of applicants' education, training, and experience
• Process initial credentialing and re-credentialing applications, maintaining compliance with applicable laws and regulations
• Maintain provider records, ensuring all documentation is current and ready for review by medical staff committees

Required Qualifications, Training, and Education

• High School diploma or equivalent required
• Knowledge of medical terminology required
• Working knowledge of TJC and NCQA standards, along with state and federal guidelines
• Minimum one year of experience in administrative work, preferably in healthcare or a related field
• Intermediate level experience with Word, Excel, Adobe, and OneNote; comfortable with database programs