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, ensuring compliance with guidelines
• Maintain accurate provider data and perform primary source verifications as needed
• Facilitate provider onboarding and respond to inquiries regarding application status

Required Qualifications

• High School Diploma or equivalent required
• 3+ years of credentialing experience, preferably in a managed care setting
• Working knowledge of NCQA standards and payer credentialing standards
• Basic Excel skills, including data entry and formatting
• Strong computer, data entry, and clerical skills