Credentialing & Onboarding Specialist

Riverside Health System; United States; Remote; USD 29,000 - 38,000; Full time

Job summary

Riverside Medical Group in Newport News, VA is seeking a Credentialing Specialist to manage provider onboarding and credentialing processes. You will verify license, DEA, board certifications, and visas, enter provider data, and support quality control initiatives under guidance from management.

Daily duties include completing initial and re-credentialing applications, ensuring timely onboarding to avoid access issues, and releasing pending claims for newly credentialed providers to support

Qualifications

• High School Diploma or GED required.
• 2 years Active experience in credentialing/privileging required.
• Experience in iCare/EPIC required.
• Certified Provider Credentialing Specialist (CPCS) preferred.

Responsibilities

• Accurately complete and maintain Provider applications (Initial and Re-credentialing/Renewals).
• Ensure timely Provider Onboarding to mitigate access issues for patients.
• Responsible for timely release of pending claims for newly credentialed providers.
• Build and maintain provider information in Credentialing Database, CAQH, Echo, NPI, EMR/HER and related systems.
• Maintain accurate information in internal/external directories per CMS and regulatory guidelines.
• Investigate credentialing issues and respond within 2 business days; ensure regulatory compliance.

Education

High School Diploma or GED

Tools

iCare/EPIC

Job description

Riverside Medical Group in Newport News, VA is seeking a Credentialing Specialist to manage provider onboarding and credentialing processes. You will verify license, DEA, board certifications, and visas, enter provider data, and support quality control initiatives under guidance from management.

Daily duties include completing initial and re-credentialing applications, ensuring timely onboarding to avoid access issues, and releasing pending claims for newly credentialed providers to support