Credentialing and Medical Records Specialist (Hiring Immediately)

Credentialing Specialist

Multi-site coverage required/Hybrid Position

Position Summary

The Credentialing Specialist is responsible for coordinating, processing, and maintaining all aspects of provider credentialing, recredentialing, licensure verification, and payer enrollment to ensure healthcare professionals meet all organizational, regulatory, state, federal, and payer requirements. This role supports medical records with all record requests and legal requests.

Essential Duties and Responsibilities

• Coordinate the initial credentialing and recredentialing process for physicians, nurse practitioners, physician assistants, therapists, and allied health professionals.
• Verify provider education, training, board certifications, work history, malpractice coverage, state licensure, DEA registration, and professional references through primary source verification.
• Maintain accurate credentialing files and electronic ...