Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist.

Key Responsibilities

• Manage the credentialing process for 3-4 Southeast markets, ensuring compliance with state and federal regulations
• Build and maintain relationships with hospitals and insurance companies to facilitate application approvals
• Ensure data integrity and compliance reporting by maintaining accurate provider databases and tracking performance metrics

Required Qualifications

• Bachelor's degree or equivalent
• 3+ years of healthcare credentialing experience or relevant high-volume healthcare operations experience
• 2+ years of experience managing a program or process in an ambiguous environment
• 2+ years of experience handling sensitive information with confidentiality
• Technical proficiency with Google Workspace, Adobe Acrobat Pro, Excel, and Microsoft Office applications