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University of Arkansas for Medical Sciences
Overview
The Credentialing Specialist manages the recredentialing and privileging of physicians and health professionals. They ensure regulatory compliance and handle administrative functions related to bylaws and departmental policies.
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Compensation
Salary not listed
Posted
7 days ago
University of Arkansas System
The Credentialing Specialist manages the recredentialing and privileging of physicians and health professionals while ensuring regulatory compliance. They handle administrative functions related to bylaws, policies, and the maintenance of the credentialing database.
Duke Health
Responsible for all aspects of credentialing for medical providers within the Duke University Health System to ensure compliance with regulatory standards. This includes verifying practitioner information, maintaining credentialing databases, and managing renewals and applications.
8 days ago
EyeSouth Partners
Manage all aspects of credentialing, recredentialing, and privileging for medical providers, clinics, and facilities within the network. Maintain accurate provider data in databases and ensure timely renewal of licenses and certifications to maintain regulatory compliance.
9 days ago
Memorial Hermann Health System
This role is responsible for the front-line coordination of system-wide credentialing, ensuring accurate and timely processing of provider applications, managing daily workflow, and preparing necessary documentation for committee meetings. Key accountabilities include coordinating department workflow, preparing audit information, attending committee meetings, and overseeing training related to credentialing tools.
10 days ago
Beth Israel Lahey Health
The Credentialing Specialist will support the Medical Staff Office by processing initial appointment and reappointment applications, ensuring all required documentation is complete and accurately entered into the credentialing software (MDStaff). This role also involves maintaining accurate records for certifications, malpractice coverage, and providing administrative support to various Medical Staff committees.
$26 - $43 / HOUR
This role is responsible for the front-line coordination of system-wide credentialing functions, ensuring accurate and timely processing of provider applications through daily workflow management and meeting preparation. Key accountabilities include coordinating department workflow, preparing audit information, attending committee meetings, and onboarding new staff regarding credentialing tools and procedures.
Merakey
Manage all aspects of staff payer credentialing and re-credentialing to ensure compliance with payer requirements and organizational standards. Act as the primary point of contact for provider records and resolve credentialing-related claim issues.
$20 / HOUR
UnitedHealth Group
Responsible for the credentialing and recredentialing of employed physicians and contracted affiliated providers. Duties include primary source verifications, maintaining files, and liaising with payors regarding audits and reports.
$18 - $32 / HOUR
14 days ago
Memorial Hospital at Gulfport
Supports and maintains physician credentialing, privileging, and primary source verifications for medical staff. Manages credentialing data systems to ensure organizational compliance with regulatory requirements.
27 days ago
Cabinet Peaks Medical Center
Coordinates and manages provider credentialing, recredentialing, and payer enrollment to ensure regulatory and organizational compliance. Serves as a liaison between providers, payers, and regulatory agencies to facilitate timely network participation.
$21 - $30 / HOUR
28 days ago
COMPREHENSIVE EYECARE PARTNERS LLC GROUP
The Credentialing Specialist provides administrative support to the Regional Credentialing Team by maintaining provider data accuracy and managing payer-related updates. Key duties include coordinating insurance directory rosters, managing CAQH attestations, and collaborating with practice leadership to ensure compliance.
1 month ago
Townsen Memorial Hospital
The Credentialing Specialist leads and maintains the provider credentialing and re-credentialing process. This includes managing provider data, tracking license expirations, and ensuring compliance with Medical Staff Bylaws.
Charlie Health
The specialist will manage health plan enrollment applications for Medicaid and Commercial payors for both group and individual submissions. They are responsible for monitoring application progress, resolving delays, and tracking all activities in Salesforce.
$41,000 - $55,000 / YEAR
UHS
The specialist is responsible for executing the daily processes of the credentialing verification organization, including the initial appointment and reappointment of practitioners. They must also stay current on new credentialing regulations and maintain compliance with accreditation standards.
Surgery Partners, Inc
The specialist manages the credentialing process for healthcare providers, ensuring applications are processed efficiently and on time. They also handle the monitoring of initial and renewal applications for staff appointments and clinical privileges.
The Credentialing Specialist is responsible for coordinating the credentialing application and verification process. They also provide administrative support to the Medical Staff Department services.
MultiCare Health System
The primary job responsibility is to coordinate the process of gathering all credentialing materials. The role also involves maintaining an up-to-date healthcare provider credential database.
$28 - $40 / HOUR
Community Health Systems Professional Services Corporation
The Credentialing Specialist coordinates and processes all aspects of healthcare provider credentialing to ensure compliance with internal policies, hospital requirements, and regulatory standards, supporting both initial and ongoing credentialing activities. Essential functions include collecting, reviewing, and verifying documentation, processing applications, tracking renewals, and serving as a liaison between providers, carriers, and hospital departments.
2 months ago
Clinica Sierra Vista
The specialist will initiate, coordinate, monitor, and maintain the credentialing and re-credentialing processes for all employed and contracted practitioners and allied health staff, while also assisting with managed-care activities. Essential functions include completing applications, performing primary source verification, identifying red flags, conducting compliance reporting, preparing committee materials, and managing credential database data.
$24 - $30 / HOUR
