Job Description
Credentialing Specialist Position Summary The Credentialing Manager is responsible for overseeing all provider credentialing, recredentialing, privileging, and enrollment activities across the organization.
This role ensures providers are credentialed accurately and timely with all payers, hospitals, and regulatory entities to support uninterrupted patient care and revenue cycle operations.
The Credentialing Specialist will lead process improvement initiatives, maintain compliance with regulatory standards, and partner closely with operations, revenue cycle, recruiting, and clinical leadership teams.
Key Responsibilities Credentialing & Provider Enrollment Manage the full lifecycle of provider credentialing, recredentialing, privileging, and payer enrollment processes for physicians and advanced practice providers.
Ensure timely submission and follow-up of applications with commercial payers, Medicare, Medicaid, hospitals, and ancillary fa...