Credentialing Specialist

Job Summary

To support the Revenue Cycle Department, the remote Credentialing Specialist will manage the credentialing and renewal information for providers, ensuring compliance with policies and maintaining accurate data in various systems.

Key responsibilities

• Follow and maintain credentialing and clinic licensure policies and protocols
• Ensure up-to-date and accurate reports on the credentialing status of providers
• Process applications, verify information, and maintain data for each provider in the credentialing database

Required qualifications

• 2-3 years of Billing and Credentialing experience
• Deep knowledge of HIPAA standards of operations
• Familiarity with major payer portals and CAQH management
• Ability to work independently and meet deadlines
• Access to consistent, high-speed internet access