Credentialing Specialist

Job Description Job Description We are looking for a dedicated Credentialing Specialist to join our team on a long-term contract basis in Rochester, New York. This role involves ensuring compliance with credentialing policies and managing provider documentation with precision and accuracy. If you have a strong background in credentialing processes and a keen eye for detail, we encourage you to apply. Responsibilities: • Oversee and manage the credentialing process to ensure compliance with established policies and standards. • Maintain and update provider information in databases, including EHR systems and CRM tools. • Review and verify documentation for accuracy and completeness, adhering to industry regulations. • Coordinate with healthcare providers to collect and validate necessary credentialing materials. • Conduct audits to ensure compliance with internal and external credentialing requirements. • Utilize tools such as Adobe Acrobat and other software to manage and organize credentialing documents. • Collaborate with regulatory bodies, including the Council for Affordable Quality Healthcare (CAQH), to ensure proper credentialing. • Monitor deadlines and follow up on pending credentialing applications to ensure timely approvals. • Support the preparation of reports related to credentialing activities and compliance. • Stay informed about changes in credentialing regulations and implement necessary updates.• Proven experience in credentialing processes within the healthcare industry. • Proficiency with tools such as Adobe Acrobat, CRM systems, and EHR platforms. • Familiarity with compliance and auditing practices in healthcare. • Knowledge of industry standards, including CAQH guidelines. • Strong attention to detail and excellent organizational skills. • Ability to manage multiple tasks and meet strict deadlines. • Effective communication skills for coordinating with healthcare providers and regulatory bodies. • Experience with financial services or banner ads is a plus but not required.

Location: Rochester, IL, US

Posted Date: 5/7/2025