Credentialing Specialist Lead

Job Summary

A company is looking for a Credentialing Specialist Lead.

Key Responsibilities

• Performs primary source verification and maintains records of providers' information according to credentialing standards
• Assists department supervisor with staff management, work assignment, and serves as an escalation point for credentialing staff
• Leads the Ongoing Sanctions Monitoring process and communicates with various entities to resolve credentialing issues

Required Qualifications

• High school diploma or GED; Associate's Degree in a related field preferred
• Minimum three years of credentialing experience
• Previous lead or supervisory experience preferred
• Knowledge of credentialing standards and regulatory requirements
• Experience with credentialing databases and internal processes