Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist responsible for coordinating and executing credentialing activities for providers and Health Delivery Organizations.

Key Responsibilities

• Monitor provider compliance and maintain accurate credentialing records
• Prepare and validate credentialing data for submission and review
• Communicate with stakeholders and assist with credentialing-related inquiries

Required Qualifications

• High school diploma, GED, or equivalent
• 1+ year of experience in healthcare operations or credentialing
• Familiarity with health plan or credentialing systems
• Proficiency in Microsoft Office and Adobe Acrobat
• Associate or Bachelor's degree in a related field preferred