Credentialing Specialist Jobs

Credentialing Specialist

Robert Half

Location:
United States, Henderson

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Not provided

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Job Description:

We are looking for a detail-oriented Credentialing Specialist to join our team on a contract basis in Henderson. In this role, you will oversee and coordinate the credentialing process to ensure compliance with federal, state, and regional regulations. This position requires strong organizational skills, attention to detail, and a solid understanding of medical terminology and credentialing procedures.

Job Responsibility:

Manage the credentialing process by collecting, reviewing, and verifying applications and supporting documentation
Ensure all physician credentials are accurate, complete, and comply with applicable regulatory standards
Maintain up-to-date records in the credentialing database and other tracking systems
Collaborate with healthcare providers and organizations to resolve discrepancies or incomplete information
Conduct audits to verify compliance with internal policies and external regulatory requirements
Provide support for enrollment with the Council for Affordable Quality Healthcare (CAQH) and other accrediting bodies
Prepare detailed reports on credentialing activities and compliance status
Assist in identifying and implementing improvements to the credentialing process
Stay informed about changes in healthcare credentialing regulations and best practices

Requirements:

Proven experience in credentialing, particularly in a healthcare or hospital setting
Proficiency in using credentialing databases, CRM systems, and EHR platforms
Familiarity with the Council for Affordable Quality Healthcare (CAQH) process
Strong knowledge of medical terminology and credentialing standards
Exceptional organizational and auditing skills with high attention to detail
Ability to manage multiple tasks and meet strict deadlines
Certified Provider Credentialing Specialist (CPCS) designation preferred
Proficiency in tools like Adobe Acrobat and Microsoft Office Suite

What we offer:

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
April 30, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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