Credentialing Specialist II

Job Summary

A company is looking for a Credentialing Specialist II to ensure healthcare providers meet quality and compliance standards.

Key Responsibilities

• Process provider applications for credentialing and re-credentialing while ensuring compliance with regulatory standards
• Maintain accurate provider information in various systems and perform primary source verifications
• Facilitate provider onboarding and respond to inquiries regarding application statuses

Required Qualifications

• Associate degree or equivalent combination of education and experience
• 3 years of credentialing experience, preferably in a managed care setting
• Knowledge of NCQA standards and payer credentialing standards
• Strong computer, data entry, and clerical skills
• Ability to maintain internet service for remote work requirements