Credentialing Specialist

Credentialing Specialist

We are looking for an experienced Credentialing Specialist to join our team in Lafayette, Colorado. This is a long-term contract position offering the opportunity to contribute to critical processes ensuring compliance and quality standards in the healthcare industry. The ideal candidate will have a strong background in credentialing practices and will play a key role in maintaining provider credentials.

Responsibilities :

• Manage credentialing processes for physicians and healthcare providers, ensuring compliance with industry standards.
• Oversee re-credentialing applications to maintain up-to-date provider certifications.
• Conduct thorough reviews of documentation and verify qualifications for medical professionals.
• Maintain detailed records of all credentialing activities to ensure accuracy and accessibility.
• Collaborate with internal teams and external agencies to address credentialing requirements.
• Monitor deadlines and proactively follow up to ensure timely completion of credentialing tasks.
• Communicate effectively with providers to resolve any credentialing issues or discrepancies.
• Ensure adherence to regulatory guidelines and standards throughout all credentialing processes.
• Identify and implement improvements to streamline credentialing workflows.
• Provide regular updates and reports on credentialing status to relevant stakeholders.

Requirements :