Credentialing and Licensing Specialist

About the role

We are seeking a detail-oriented Credentialing Specialist to join our team. The Credentialing Specialist will verify healthcare providers' credentials, ensure compliance with relevant regulations and standards, and maintain accurate records.

Key Responsibilities

• Verify healthcare providers’ credentials, including licensure, education, training, and relevant certifications
• Maintain accurate and up-to-date credentialing records for all healthcare professionals
• Ensure compliance with regulatory standards and accreditation requirements
• Communicate with healthcare providers, insurance companies, and other stakeholders to gather necessary credentialing information
• Absorb and resolve any credentialing issues or discrepancies in a timely manner
• Participate in audits and quality improvement initiatives related to credentialing processes

Requirements & Qualifications

• High school diploma or equivalent
• Proven experience in medical credentialing within a healthcare setting
• Strong knowledge of healthcare regulations and accreditation standards
• Excellent organizational skills and attention to detail
• Proficient in using credentialing software and Microsoft Office Suite
• Strong communication and interpersonal skills

Preferred

• Prior experience with DEA, state licensing, and malpractice insurance enrollment or renewals

Benefits & Perks

• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off (PTO) and company holidays