Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist who will manage the credentialing process for telehealth providers.

Key Responsibilities

• Manage the full lifecycle of credentialing and recredentialing for telehealth providers across multiple states
• Ensure compliance with NCQA, Joint Commission, and CMS standards while maintaining accurate credentialing records
• Coordinate payer credentialing and enrollment with commercial and government payers, tracking application statuses until approval

Required Qualifications

• 5+ years of credentialing experience in healthcare
• Experience credentialing telehealth providers across multiple states
• Familiarity with CAQH, NPDB, NPI registry, and state licensing boards
• Knowledge of telehealth regulatory requirements and multi-state licensure processes
• Proficiency in credentialing databases and provider management systems