Credentialing Specialist - Remote

Overview

The Credentialing Specialist works in partnership with the CVO Manager/Medical Staff Office Manager and Inland Northwest Region Director to assist in the organization and implementation of various projects and programs within the healthcare network.

In Short

• Coordinates and performs all provider credentialing and re-credentialing services.
• Analyzes provider contracts, applications, and other material for completeness.
• Monitors credentialing documentation including current licensure and board certification.
• Utilizes PECOS and CAQH credentialing database for efficiency.
• Submits and retrieves National Practitioner Database reports.
• Responds to inquiries from healthcare organizations on credentialing issues.
• Works independently with minimal supervision.
• Requires high school diploma or GED; CPCS preferred.
• Minimum of three years of experience in provider credentialing.
• Belongs to a mission-driven organization dedicated to community health.

Requirements

• High school diploma or GED.
• Certified Provider Credentialing Specialist (CPCS) preferred.
• Minimum three years of experience with provider credentialing and/or healthcare contracting.
• Minimum three years in an administrative role.
• Ability to work independently and manage multiple tasks.
• Strong analytical and problem-solving skills.
• Excellent communication skills.
• Proficiency in using credentialing databases.
• Commitment to the values of respect, integrity, and collaboration.
• Understanding of healthcare quality improvement standards.

Benefits

• Comprehensive benefits package including medical, dental, and retirement benefits.
• Paid time off.
• Competitive salary range.
• Opportunity for growth within the organization.
• Employee-centric workplace recognized by Forbes.
• Supportive and inclusive work environment.
• Access to ongoing training and development.
• Engagement in meaningful work that positively impacts the community.
• Work-life balance with flexible schedules.
• Participation in a mission-driven organization.