Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist responsible for coordinating the licensing program for clinicians.

Key Responsibilities

• Adhere to credentialing policies and procedures
• Ensure credentialing files are updated and meet regulatory standards
• Partner with the Credentialing Manager to prepare for delegated credentialing surveys and audits

Required Qualifications

• 1+ years of healthcare experience in credentialing or enrollment
• Understanding of regulatory requirements for payor credentialing
• Experience with CAQH ProView database
• Ability to quickly learn and apply healthcare rules and regulations
• Strong organizational and time management skills