Credentialing Specialist

The Credentialing Specialist is responsible for managing and maintaining the credentialing and re-credentialing process for healthcare providers in compliance with regulatory, accreditation, and payer requirements. This role ensures that all practitioners are properly licensed, certified, and credentialed prior to onboarding and throughout their employment.

The Credentialing Specialist works closely with providers, internal departments, and external agencies to verify qualifications, maintain accurate records, and support timely provider enrollment and complain