Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to evaluate, analyze, and coordinate credentialing processes for healthcare providers.

Key Responsibilities

• Review and screen credentialing applications for completeness and compliance with regulations
• Collect and validate clinicians' documents and assess qualifications against credentialing standards
• Monitor files for accuracy and timely submission, providing updates to stakeholders

Required Qualifications, Training, and Education

• High school diploma or GED required; higher education may substitute for experience
• Minimum of 4 years' experience in credentialing or related duties
• Strong analytical skills and ability to resolve credentialing issues
• Proficiency in Microsoft Office programs and database management
• Ability to work effectively in a fast-paced environment