Credentialing specialist serp_jobs.h1.location_city

A company is looking for a Credentialing Specialist responsible for managing the credentialing processes for healthcare providers. Key Responsibilities Ensure timely processing of Primary Source Verification for initial and recredentialing Maintain compliance with NCQA, CMS, and state requirements related to provider credentialing Coordinate with stakeholders to resolve credentialing issues and maintain up-to-date provider data Required Qualifications 1+ years of experience in managed care credentialing and Primary Source Verification Ability to function independently and manage multiple projects effectively Compliance with HIPAA rules and regulations Demonstrated ability to handle sensitive and confidential information Independent judgment in interpreting regulatory guidelines