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The Credentialing Associate (Contract) supports the timely and accurate credentialing and re-credentialing of healthcare practitioners during a defined contract period. The role is responsible for collecting, verifying, and maintaining practitioner documentation in accordance with regulatory, payer, and organizational requirements.
Job Responsibility:
Collect credentialing and re-credentialing applications, licenses, certifications, and supporting documentation from healthcare providers
Complete primary source verification for provider qualifications, including education, licensure, board certification, and employment history
Ensure all credentialing processes comply with current federal, state, accreditation, and internal standards
Update and maintain provider files and credentialing databases, ensuring documentation is accurate and current
Prepare and submit applications to payers, regulatory bodies, and health systems as necessary
Track application status and coordinate with providers and internal teams to resolve deficiencies or secure missing information
Communicate credentialing requirements and status updates to stakeholders efficiently and professionally
Assist with audits and prepare credentialing activity reports as required
Requirements:
High school diploma or equivalent required
Associate’s or Bachelor’s degree preferred
Prior experience in healthcare credentialing, medical staff services, or a related administrative specialty preferred
Familiarity with credentialing standards, regulatory guidelines, and accreditation (e.g., The Joint Commission, NCQA)
Exceptional attention to detail and strong organizational skills
Ability to work in a fast-paced environment and manage multiple priorities to meet required deadlines
Excellent written and verbal communication skills
Proficiency in Microsoft Office and credentialing management software/databases
What we offer:
medical, vision, dental, and life and disability insurance