Credentialing Specialist

A company is looking for a Credentialing Specialist to support provider credentialing and payer enrollment functions for healthcare clients.

Key Responsibilities

Manage end-to-end credentialing and recredentialing for providers across assigned client accounts

Prepare, submit, and track payer enrollment applications for Medicare, Medicaid, and commercial health plans

Verify provider credentials and maintain organized records of all credentialing activities

Required Qualifications

Associate's or Bachelor's degree preferred in Healthcare Administration or related field

Minimum 2 years of credentialing or provider enrollment experience

Familiarity with Medicare / Medicaid enrollment processes and payer portals

Proficient in Microsoft Office and credentialing / enrollment software

CPCS or CPMSM certification preferred but not required