Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist responsible for verifying the professional licensing and certifications of healthcare practitioners.

Key Responsibilities

• Compile and verify primary sourced data for healthcare practitioners/providers
• Process and maintain credentialing files and ensure compliance with regulatory standards
• Update and manage practitioner/provider data in the credentialing database

Required Qualifications

• Minimum one year of Primary Source Verification experience
• Recent experience in healthcare credentialing within a hospital or CVO setting
• Knowledge of credentialing software applications or relational databases
• Certification as a CPCS (Certified Provider Credentialing Specialist) preferred
• Understanding of state and federal regulatory requirements related to credentialing