Credentialing Specialist

The Credentialing Specialist is responsible for managing the credentialing and re-credentialing processes for healthcare providers to ensure compliance with organizational and regulatory standards. This role involves the verification of provider credentials, licenses, and professional qualifications, as well as maintaining accurate records and databases.

Requirements

• Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or related field (or equivalent experience)
• 2+ years of experience in credentialing, medical staff services, or a related role in a healthcare setting
• Knowledge of credentialing standards (NCQA, URAC, Joint Commission) and federal and state regulations
• Excellent attention to detail, organizational, and time-management skills
• Strong communication and interpersonal skills, with the ability to work effectively with internal teams and external contacts