Credentialing Specialist II

Job Summary

A company is looking for a Credentialing Specialist II to ensure healthcare partners meet regulatory requirements and maintain provider data compliance.

Key Responsibilities

• Facilitate provider onboarding and ensure documentation is complete and accurate
• Perform primary source verifications and maintain provider information in various systems
• Respond to inquiries regarding the status of provider applications and support Credentialing Specialist I

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 suitable for remote work