Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist - PT.

Key Responsibilities:

• Process and manage provider credentialing applications, ensuring compliance with federal, state, and payer requirements
• Maintain accurate and up-to-date provider records within credentialing databases and digital health platforms
• Verify provider credentials, including licensure, certifications, education, training, and work history

Qualifications:

• Bachelor's degree in healthcare administration, business, or a related field preferred
• 2+ years of experience in provider credentialing or enrollment within a healthcare or digital health setting
• Experience using credentialing software such as Verifiable, Medallion, CertifyOS, or Andros preferred
• Strong understanding of NCQA, CMS, CAQH, and payer credentialing requirements
• Proficiency in credentialing software, databases, and digital health platforms