Credentialing Specialist

About the role

The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience in both facility and clinic credentialing/privileging. This role involves initial credentialing and enrollment of providers across various specialties, as well as ongoing maintenance of licenses, certifications, privileges, malpractice coverage, and contract specifications (e.g., addresses, re-validations). The specialist will notify providers and collaborate with practice/office managers to ensure task completion. Professionalism in communication with clients, insurers, and industry contacts is essential.

Duties may vary daily but must be completed within set deadlines. This position may also support the in-house Contracting Team by handling overflow tasks.

Responsibilities

• Perform initial credentialing and enrollment of providers for multiple specialties.
• Maintain and monitor provider licenses, certifications, privileges, malpractice coverage, and contract specifications (e.g., addresses, re-validations).
• Notify providers and work with practice/office managers to facilitate task completion.
• Communicate professionally with clients, insurers, and industry contacts.
• Complete varied daily duties within deadlines set by management.
• Support the in-house Contracting Team with overflow tasks as needed.

Requirements

• Minimum 1 year of experience in medical provider credentialing (required).
• Experience with Primary Source Verification (PSV) (preferred).
• Ability to commute or work in-person in Tucson, Arizona 85716 (hybrid or in-person options available).
• Relocation assistance is not provided.

Qualifications

Experience in facility and clinic credentialing/privileging.

Benefits

• 401(k)
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee Assistance Program (EAP)
• Flexible schedule
• Health insurance
• Health Savings Account (HSA)
• Life insurance
• Paid time off
• Vision insurance

Schedule

• Full-time (40 hours/week)
• Day shift
• Monday to Friday

Job Type: W2 Employee

Pay: Determined upon experience; semi-monthly pay schedule.