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

Feb 21, 2025 - 23:11

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