Credentialing Specialist

Job Summary

Facilitating the credentialing process, the full-time remote Credentialing Specialist will manage provider application data collection, application processing, and primary source verification while ensuring compliance with regulatory standards and exceptional customer service.

Key responsibilities

• Execute credentialing application processing and primary source verification for new and re-credentialing applicants
• Organize and maintain provider data and files, ensuring timely processing and adherence to quality benchmarks
• Maintain awareness of regulatory compliance guidelines and complete credentialing compliance checkpoints for file readiness

Required qualifications

• High School diploma or GED required; Bachelor's degree in Business, Healthcare, or related field preferred
• 1 year of recent experience in medical staff services or a CVO setting preferred
• Certification as a Certified Professional Medical Staff Management (CPMSM) or Certified Professional Credentials Specialist (CPCS) preferred
• Experience with CredentialStream Credentialing software strongly preferred