Credentialing Specialist

Job Summary

A company is looking for a Delegated Credentialing Specialist, Temp.

Key Responsibilities

• Initiate and support the practitioner application process, ensuring completeness for payor enrollment and credential verification
• Enroll providers with client payors and update credentialing information in databases
• Monitor expiring credentials and respond to inquiries from practitioners and health plans

Required Qualifications

• Proficient in using payor websites and various software for provider applications and credential verification
• 3-5 years of experience in medical credentialing processes and delegated credentialing requirements
• Associate's degree or equivalent combination of education and experience
• Certified Provider Credentialing Specialist (CPCS) or Provider Enrollment Specialist Certificate (PESC) preferred
• Knowledge of primary source verification and compliance standards