Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist - Professional.

Key Responsibilities

• Manage the credentialing and recredentialing process for practitioner applicants
• Conduct primary source verifications and analyze collected information for accuracy
• Maintain confidentiality and ensure compliance with regulatory criteria while communicating with healthcare practitioners

Required Qualifications

• High school diploma required; Associate degree preferred
• 1-4 years of hospital or insurance plan credentialing experience
• Working knowledge of Joint Commission, NCQA, URAC, and HFAP standards
• Certified Provider Credentialing Specialist (CPCS) preferred