Credentialing Specialist

A company is looking for a Credentialing Specialist.

Key Responsibilities

Review Provider Information Forms related to managed care business operations

Maintain provider contract grids and communicate changes to third-party MSO

Conduct routine audits of provider updates and assist with contract implementation

Required Qualifications

High School Diploma or GED

Flu vaccination (no declinations / exemptions)

Experience with physician insurance compliance / data integrity

Proficiency with Excel

Understanding of HMO and Fee For Service business lines