Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist responsible for administrative aspects of credentialing services and health plan provider enrollment.

Key Responsibilities

• Manage all aspects of credentialing and recredentialing for providers, including verification and documentation
• Coordinate credentialing processes and maintain communication with relevant departments to ensure timely reviews
• Prepare materials for external audits and maintain the accuracy of the credentialing database

Required Qualifications

• High School diploma required
• 2-4 years of related healthcare experience preferred, with a focus on operational roles
• Certified Provider Credentialing Specialist (CPCS) is a plus
• Strong computer skills, particularly in Microsoft Office applications
• Ability to work on multiple projects concurrently and support compliance efforts