Job Title: Credentialing Specialist

Job Description:

We are seeking an organized and detail-oriented Credentialing Specialist to join our team. In this role, you will be responsible for managing the credentialing process for healthcare providers within our organization. Your keen attention to detail and thorough understanding of compliance standards will play a critical role in ensuring that our providers meet all necessary qualifications and maintain active credentials.

Key Responsibilities:

- Oversee and manage the full credentialing and re-credentialing process for healthcare providers, ensuring accuracy and compliance with applicable regulations and standards.
- Gather, review, and verify all requisite documentation from providers, including licenses, certifications, and education verification.
- Collaborate with healthcare professionals, insurance companies, and regulatory bodies to ensure timely completion of credentialing.
- Maintain updated and precise records of provider credentials in the credentialing database, ensuring all information is current and accessible.
- Conduct continuous monitoring of healthcare providers' credentials and alert necessary parties of any changes or impending expirations.
- Respond to inquiries related to credentialing processes and resolve issues promptly and efficiently.
- Assist with audits and surveys as needed, providing necessary documentation and reports.
- Stay informed about industry trends and changes to credentialing and privileging regulations, applying this knowledge to improve practices.

Qualifications:

- High school diploma or equivalent; an Associate's degree or higher in healthcare administration, business, or a related field is preferred.
- Proven experience in credentialing or a related healthcare administration role.
- Familiarity with medical terminology and healthcare industry regulations.
- Excellent organizational skills with a high level of attention to detail.
- Strong communication skills, both written and verbal, with the ability to work collaboratively with diverse teams.
- Proficient in using credentialing software and database management tools.
- Ability to manage multiple tasks efficiently in a fast-paced environment.

Why Join Us?

- Be part of a dynamic and supportive team committed to high standards of healthcare service.
- Opportunities for professional growth and development.
- Competitive compensation and benefits packages.

If you are looking to leverage your skills in credentialing within a healthcare setting that values quality and compliance, we invite you to apply for the Credentialing Specialist position today.