Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to ensure healthcare providers are properly credentialed and enrolled with payers.

Key Responsibilities

• Verify provider licenses, certifications, and documentation for accuracy and compliance
• Maintain and update CAQH profiles and submit payer enrollment applications
• Track application status and monitor license expirations for timely renewals

Required Qualifications

• Minimum 3 years of credentialing experience
• Strong understanding of provider enrollment and payer processes
• Experience with CAQH and credentialing systems
• Strong organizational skills with the ability to manage multiple priorities
• Ability to work independently