Credentialing Specialist (CPCS Certified)
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Job Summary
Managing delegated credentialing activities for assigned payer relationships, the full-time remote Credentialing Specialist (CPCS Certified) will oversee compliance monitoring, prepare for audits, maintain credentialing records, and support credentialing for Nurse Practitioners and group practices.
Key responsibilities
- Oversee delegated credentialing activities, including compliance monitoring, reporting, and audit preparation
- Maintain complete, audit-ready credentialing records and serve as a point of contact for payer communications
- Lead credentialing for Nurse Practitioners and support group practice credentialing efforts
Required qualifications
- 2-5 years of credentialing and enrollment experience, with at least 2 years in delegated credentialing
- Certified Provider Credentialing Specialist (CPCS) certification
- Ability to manage multiple payer relationships with minimal oversight
- High attention to detail and strong organizational skills
- Familiarity with credentialing software and payer rostering tools
Complete Job Description
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