Credentialing Specialist

Responsibilities

• Onboard and maintain credentialing of providers with state boards
• Manage and review credentialing files on credentialing platform for accuracy and completeness
• Perform primary source verifications via various state and national sources
• Obtain new and renewed state licenses for providers
• Participate in the development of internal credentialing processes
• Ensure compliance with applicable laws, licensing requirements, regulations, procedures, and policies

Requirements

• 02-3 years of relevant professional experience in credentialing
• Knowledge of credentialing principles, best practices, and medical terminology
• Ability to manage multiple projects and heavy workload simultaneously with a positive attitude
• Excellent attention to detail and time management skills
• Flexible and adaptable to changes/challenges
• People-oriented and collaborative
• Skill in establishing priorities with independent coordination of day-to-day aspects
• Ability to maintain confidentiality and discretion in all communications on behalf of credentialing applicants and/or applications
• Bachelor's degree preferred or equivalent experience