Credentialing Specialist

Job Summary

To support a growing credentialing operation, the full-time Credentialing Specialist will manage day-to-day credentialing processes, collaborate with the Credentialing Manager, and ensure timely completion of provider credentialing and recredentialing tasks while working remotely.

Key responsibilities

• Execute daily credentialing functions, including quality checks and data management for provider files
• Coordinate with Credentialing Verification Organizations (CVO) to ensure timely completion of credentialing and recredentialing processes
• Assist in internal and external audits to maintain compliance and efficiency within the Credentialing Program

Required qualifications

• 2-3 years of professional work experience in a credentialing or highly communicative role
• Bachelor's degree preferred
• Proficiency in Microsoft Office and G-Suite applications
• Previous credentialing experience is preferred
• Ability to work collaboratively in a remote environment