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Credentialing Specialist

The Credentialing Specialist keeps abreast of government and accrediting agency standards for persons employed in health care facilities. This candidate will ensure that staff members and facility credentials meet the appropriate requirements to operate and perform their job.

Job Duties:

  • Prepare reports with accurate data for all health care providers
  • Verification of practitioner legitimacy via licensing agencies, universities, certification bodies, etc
  • Maintain an active database of training, licenses and other credentials for practitioners
  • Ensure staff members adhere to staff and department regulations and laws
  • Audit health plan directories for current and accurate provider information
  • Track certification expiration for all staff members and ensure timely renewals
  • Ensure company is operating in accordance with health plans and government regulations
  • Performs other duties as needed

Required Qualifications:

  • Associate’s degree in healthcare or business administration
  • 1 year experience in a medical office
  • Professional certification preferred
  • Relevant credentialing preferred
  • Proficient in using a computer and Microsoft Office