Credentialing Specialist II
A company is looking for a Credentialing Specialist II to ensure healthcare providers meet regulatory requirements and industry standards.
Key Responsibilities
Process provider applications for credentialing and re-credentialing while maintaining compliance with guidelines
Facilitate provider onboarding and ensure documentation is complete and accurate
Perform primary source verifications and maintain provider information in various systems
Required Qualifications
Associate degree or equivalent combination of education and experience
3 years of credentialing experience, preferably in a managed care setting
CPCS certification preferred
Knowledge of NCQA standards and payer credentialing standards
Strong computer, data entry, and clerical skills
A company is looking for a Credentialing Specialist II to ensure healthcare providers meet regulatory requirements and industry standards.
Key Responsibilities
Process provider applications for credentialing and re-credentialing while maintaining compliance with guidelines
Facilitate provider onboarding and ensure documentation is complete and accurate
Perform primary source verifications and maintain provider information in various systems
Required Qualifications
Associate degree or equivalent combination of education and experience
3 years of credentialing experience, preferably in a managed care setting
CPCS certification preferred
Knowledge of NCQA standards and payer credentialing standards
Strong computer, data entry, and clerical skills