Credentialing Specialist

Golden State Orthopedics and Spine; Iowa (LA); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Collaborative work environment

Full coverage for Employee PPO Medical

401k and Profit-Sharing Program

Paid Vacation, Floating Holidays, Sick

Employee Discount Programs

Internal Mobility

Job summary

Golden State Orthopedics and Spine is seeking a Credentialing Specialist to manage the full cycle of credentialing and re-credentialing for physicians, including preparing, submitting, and monitoring applications.

This role maintains up-to-date licenses, certifications, and documents, tracks expirations, and updates provider information in the MODIO credentialing database to ensure regulatory and organizational compliance.

Qualifications

• High School Diploma or GED certificate.
• 2+ years’ experience in a medical office (preferred).
• Work and Excel experience (required).
• EHR/EMR experience (preferred).

Responsibilities

• Preparing credentialing and re-credentialing applications on behalf of physicians/providers
• Completing provider credentialing and re-credentialing applications; monitor applications and follow-ups as needed
• Gathering, organizing, and maintaining copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
• Tracking license and certification expirations for all providers to ensure timely renewals
• Maintaining and updating credentials in MODIO credentialing database

Skills

Medical office experience

EHR/EMR experience

Education

High School Diploma or GED certificate

Tools

Microsoft Excel

Job description

About the Role

The Credentialing Specialist is responsible for managing the full cycle of provider credentialing and re-credentialing, ensuring all applications are accurately prepared, submitted, and monitored through completion. This role maintains up-to-date records of licenses, certifications, and required documents, proactively tracking expirations to prevent lapses. The Credentialing Specialist also updates and manages provider information in the MODIO credentialing database to ensure compliance with all regulatory and organizational requirements.

What You’ll Do

• Preparing credentialing and re-credentialing applications on behalf of physicians/providers
• Completing provider credentialing and re-credentialing applications; monitor applications and follow-ups as needed
• Gathering, organizing, and maintaining copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
• Tracking license and certification expirations for all providers to ensure timely renewals
• Maintaining and updating credentials in MODIO credentialing database

What We’re Looking For:

• High School Diploma or GED certificate
• 2+ years’ experience in a medical office (preferred)
• Work and Excel experience (required)
• EHR/EMR experience (preferred)

What We Offer

• Collaborative and friendly work environment
• Full coverage for Employee PPO Medical insurance
• 401k and Profit-Sharing Program
• Paid Vacation, Floating Holidays, Regular Holidays, Sick Time
• Employee Discount Programs
• Internal Mobility