Provider Credentialing Specialist

📋 Description

• Lead day-to-day provider credentialing and recredentialing activities, supporting provider
• Collaborate with healthcare providers, credentialing teams, quality staff, and operational leaders
• Conduct Primary Source Verification (PSV) and validate provider licenses, certifications, and other
• Prepare and maintain credentialing files and documentation for committee review, ensuring records
• Apply credentialing systems, documentation standards, and quality review processes to support
• Work in accordance with applicable regulatory and accreditation standards, including CMS and NCQA

🎯 Requirements

• High school diploma required; an associate or bachelor’s degree in a relevant field is preferred.
• At least 1 year of related experience, with 2+ years of healthcare credentialing experience
• Practical knowledge of initial credentialing, recredentialing, Primary Source Verification
• Familiarity with healthcare regulatory and accreditation standards, particularly CMS and NCQA.
• Strong attention to detail and a highly organized approach to managing documentation, deadlines
• Excellent written and verbal communication skills, with the ability to collaborate effectively with

🎁 Benefits

• Estimated annual compensation of $46,750–$63,250, with actual pay determined by experience
• Fully remote work with a full-time, 40-hour workweek.
• Flexible work arrangements designed to support work-life balance.
• Medical plan options, including plans with Health Savings Accounts, plus dental and vision coverage.
• 401(k) plan with employer matching and pre-tax and post-tax contribution options.
• Paid time off, including vacation, sick and personal leave, plus paid holidays.