Credentialing & Privileging Specialist

AtlantiCare; Atlantic City (NJ); On-site; USD 31,000 - 46,000; Full time

Benefits offered by this job

PTO

Medical Insurance

Retirement Plan

Disability Insurance

Life Insurance

Tuition Reimbursement

FSAs

Wellness Programs

Pet Insurance

Job summary

AtlantiCare is seeking a Credentialing Specialist to support credentialing, privileging, and verification activities across practitioners. You will collaborate with medical leadership to ensure compliance with accreditation standards and internal policies.

The role involves data maintenance, primary source verification, and responding to inquiries about practitioner status. Ideal candidates have credentialing experience, strong communication skills, and a focus on accuracy to uphold patient

Qualifications

• CPCS and/or CPMSM credentials preferred.
• Knowledge of credentialing processes and terminology.
• Excellent oral and written communication skills.

Responsibilities

• Conducts credentialing and privileging activities.
• Maintains credentialing database for accuracy and timeliness.
• Communicates practitioner status and requirements to stakeholders.
• Reviews applications and decisions with governing bodies.

Skills

CPCS CPMSM

Attention to detail

Oral & written skills

Education

High School Diploma

Associate degree preferred

Job description

AtlantiCare is seeking a Credentialing Specialist to support credentialing, privileging, and verification activities across practitioners. You will collaborate with medical leadership to ensure compliance with accreditation standards and internal policies.

The role involves data maintenance, primary source verification, and responding to inquiries about practitioner status. Ideal candidates have credentialing experience, strong communication skills, and a focus on accuracy to uphold patient