Credentialing Specialist

Credentialing Specialist

Job Requirements:
  • Minimum 2 years experience, preferably in a managed care setting

  • Responsible for the day-to-day operations in the Credentialing Department

  • Knowledgeable of the current NCQA, CMS, DHS, DMHC credentialing standards

  • Credentialing audit experience

  • Preparing for and taking minutes at Credentialing Committee meetings

  • Preparing delegated credentialing reports

  • Knowledge of ongoing monitoring

  • Expertise in Excel, Word, and Access

  • Excellent communication skills

  • Excellent organizational skills and time management

  • Highly detail-oriented

  • Strong ability to multi-task and work in a fast paced environment

  • Strong ability in problem-solving