Job Description
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...