Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist (Remote).

Key Responsibilities

• Own the end-to-end credentialing and re-credentialing processes for providers and facilities
• Track and ensure timely completion of credentialing tasks based on regulatory and contractual deadlines
• Submit and maintain individual and group enrollment applications for Medicaid and Medicare

Required Qualifications

• 2+ years of credentialing experience in a healthcare or managed care setting
• Familiarity with credentialing standards (e.g., NCQA, URAC, CMS)
• Technical proficiency with CRM databases, basic Excel, Word, email, and video conferencing tools
• Must have a quiet, HIPAA-compliant at-home work environment with reliable internet and cell phone access