Credentialing Specialist

Location: Remote
Compensation: To Be Discussed
Reviewed: Tue, Apr 21, 2026
This job expires in: 30 days

Job Summary

A company is looking for a Credentialing Specialist - Professional.

Key Responsibilities
  • Manage the credentialing and recredentialing processes for practitioner applicants
  • Conduct thorough reviews and verifications of applications and primary source credentials
  • Maintain confidentiality and ensure accurate data entry in the credentialing software database


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

COMPLETE JOB DESCRIPTION

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