Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to lead and support provider credentialing processes.

Key Responsibilities

• Manage provider enrollment and credentialing for Medicare and other payers
• Maintain accurate CAQH profiles and ensure compliance with credentialing requirements
• Optimize workflows and develop standard operating procedures for credentialing functions

Required Qualifications

• 3+ years of experience in provider enrollment and credentialing
• Extensive experience with PECOS enrollments and Medicare Advantage applications
• Familiarity with tracking and project management tools like Airtable
• Experience in building SOPs and improving operational workflows
• Ability to communicate effectively across teams and with external partners