Credentialing & Provider Enrollment Specialist

Bcbsks; United States; Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health Insurance

Vision Insurance

Dental Insurance

Parental Leave

401(k) Matching

Tuition Reimbursement

Health & Fitness Benefits

Incentive Pay

Job summary

BCBSKS is seeking a Credentialing Specialist to manage incoming credentialing inquiries and prepare files for the Corporate Credentialing Committee. You will verify licenses, board certifications, and CAQH data, and coordinate enrollment and recredentialing timelines with internal teams.

You will liaise with providers and designees, ensure compliance with accreditation standards, and maintain confidential records.

Qualifications

• High school diploma or equivalent; relevant education preferred.
• Experience or training in credentialing processes is a plus.

Responsibilities

• Review credentialing applications and prepare files for Corporate Credentialing Committee.
• Verify licenses, board certifications, and CAQH data.
• Coordinate enrollment processing and recredentialing timelines.

Skills

Attention to detail

Confidentiality

Communication skills

Multitasking

Problem solving

Teamwork

Customer service

Education

High school diploma or equivalent

Additional education in communications/medical terminology

Tools

CAQH system

Enrollment systems

Microsoft Office

Job description

BCBSKS is seeking a Credentialing Specialist to manage incoming credentialing inquiries and prepare files for the Corporate Credentialing Committee. You will verify licenses, board certifications, and CAQH data, and coordinate enrollment and recredentialing timelines with internal teams.

You will liaise with providers and designees, ensure compliance with accreditation standards, and maintain confidential records.