Provider Credentialing Specialist

Job Description

Job Description

Job Title : Provider Credentialing Specialist

Location : St. Paul, MN (Hybrid after training, but must be able to commute on-site)

Industry : Healthcare Revenue Cycle

Pay : $20-25 / hour

Hours : M-F, standard hours

Benefits : This position is eligible for medical, dental, vision.

Credentialing Specialist – Essential Functions

• Maintain accurate and up-to-date credentialing records for all healthcare providers.
• Track and manage licensure, certifications, CME requirements, and health records; monitor expiration dates to ensure timely renewals.
• Complete and submit initial credentialing and reappointment applications; follow up with providers and organizations to support timely processing.
• Review applications for accuracy, completeness, and compliance with regulatory and organizational standards.
• Communicate directly with providers to collect and verify information required for credentialing and to maintain current records.
• Conduct primary source verifications of provider credentials.
• Assist hospitals, payers, and other healthcare entities by supplying necessary information to maintain provider credentialing files.
• Respond promptly to email and phone inquiries related to credentialing.
• Maintain the confidentiality and security of all provider credentialing records in accordance with organizational policies and regulations.
• Collaborate closely with the Credentialing Manager to identify, troubleshoot, and resolve credentialing issues.
• Perform additional related duties as assigned.

Qualifications

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.

IND 004-007