Credentialing Specialist - Full Time - Germantown, TN
Core
Maintaining active credentialing status for all providers by completing initial and ongoing credentialing, privileging, licensing, and enrollment requirements for hospitals, surgery centers, and commercial and government payers.
Role type
Operational Credentialing Specialist
Builds
Provider enrollment and credentialing status across multiple databases and payers
Domain
Healthcare administration / Medical practice operations
Required skills
Provider credentialing and recredentialing, State medical license management, DEA registration management, Payer enrollment coordination, Medical practice business office operations, Microsoft Office proficiency
Preferred skills
Prior credentialing experience, Knowledge of payer and agency credentialing requirements
Technologies
MD-Staff, CAQH, Microsoft Office (Word, Excel, Access)
Responsibilities
Complete and submit initial state medical license applications and supporting documentation, Monitor expiration dates for state medical licenses, DEA registrations, and board certifications, Coordinate provider enrollment with malpractice carrier, Process applications for hospital appointments and reappointments, Audit health plan directories for accuracy, Generate ad hoc queries and reports within credentialing systems, Provide credentialing and privileging verifications
Seniority
Mid-level, hands-on operational role