Managed Care Credentialing Specialist

A company is looking for a Managed Care Credentialing Specialist to ensure compliance with regulatory and accreditation requirements for home health and hospice clients. Key Responsibilities Oversee and coordinate the credentialing and re-credentialing processes for agencies in compliance with regulations Collect, verify, and maintain comprehensive records of credentialing documentation Monitor credentialing expiration dates and ensure timely renewals and compliance Required Qualifications Prior experience in credentialing within the healthcare industry, preferably in home health and hospice settings Familiarity with managed care and healthcare operations and regulations High school diploma, GED, or equivalent required Proficient in data entry and management, with strong command of Microsoft Office Suite Ability to handle sensitive information with confidentiality and professionalism

Mar 25, 2025 - 18:59

A company is looking for a Managed Care Credentialing Specialist to ensure compliance with regulatory and accreditation requirements for home health and hospice clients. Key Responsibilities Oversee and coordinate the credentialing and re-credentialing processes for agencies in compliance with regulations Collect, verify, and maintain comprehensive records of credentialing documentation Monitor credentialing expiration dates and ensure timely renewals and compliance Required Qualifications Prior experience in credentialing within the healthcare industry, preferably in home health and hospice settings Familiarity with managed care and healthcare operations and regulations High school diploma, GED, or equivalent required Proficient in data entry and management, with strong command of Microsoft Office Suite Ability to handle sensitive information with confidentiality and professionalism