Senior Credentialing Specialist

Job Summary

A company is looking for a Senior Credentialing Specialist who ensures providers are credentialed through vetted processes and procedures.

Key Responsibilities

• Oversees the processing of provider applications and re-applications
• Maintains accurate provider profiling system data
• Communicates with providers concerning credentialing status and responds to requests for provider information

Required Qualifications

• Bachelor's Degree and/or equivalent work experience
• 3 plus years of experience in medical credentialing
• Strong knowledge of industry standards, including TJC, NCQA, AAAHC, and DNV
• Proficiency in the Microsoft Office Suite, particularly Excel
• Certification Preferred: CPCS