Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist - Credentials Committee.

Key Responsibilities

• Assist with the coordination of the enterprise-wide credentialing process for practitioners and health delivery organizations
• Maintain the credentialing software database, ensuring data accuracy and completeness
• Communicate with healthcare practitioners to clarify questions and request missing information

Required Qualifications

• High school diploma required; Associate degree preferred
• 2-5 years of hospital or insurance plan credentialing experience
• Working knowledge of Joint Commission, NCQA, URAC, and HFAP standards
• Certified Provider Credentialing Specialist (CPCS) preferred