Credentialing

Job description:

Job Description: Credentialing Specialist

ONSITE - NIGHT SHIFT

Position Overview:
The Credentialing Specialist is responsible for managing the end-to-end credentialing and enrollment process for healthcare providers, ensuring compliance with federal, state, and payer-specific requirements. This role supports accurate provider setup, maintenance, and validation across all relevant systems while maintaining high standards for quality, timeliness, and regulatory adherence.

Key Responsibilities

• Manage full lifecycle provider credentialing, including initial enrollment, re-credentialing, and revalidation for Medicaid, Medicare, and commercial payers.
• Maintain NPI records (Type 1 and Type 2) via NPPES, ensuring accuracy and compliance.
• Prepare, submit, and monitor...