Credentialing Specialist
Core
Completing payer enrollment and facility appointment applications for providers and maintaining accurate credential files and provider records.
Role type
Administrative Credentialing Specialist
Builds
Provider enrollment and credentialing workflows
Domain
Healthcare administration
Required skills
Payer enrollment application completion, Provider record management, Credential file maintenance, HIPAA compliance, Administrative support
Preferred skills
Provider relations communication, Special project research
Technologies
Credentialing software, Electronic folders
Responsibilities
Complete payer enrollment and facility appointment applications, Track progress of outstanding applications, Maintain accurate provider records and credential files, Ensure HIPAA guidelines are respected
Seniority
Entry-level, individual contributor