Credentialing Specialist

Sunbelt Medical Management; Tucson (AZ); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

401(k)

AD&D insurance

Dental insurance

Disability insurance

Employee assistance program (EAP)

Flexible schedule

Health insurance

Health savings account (HSA)

Life insurance

Paid time off

Vision insurance

Job summary

Sunbelt Medical Management seeks a Credentialing Specialist in Tucson, AZ. The role covers initial credentialing and enrollment for various specialties, plus maintenance of licenses, certifications, and related contract details.

You will coordinate with providers, insurers, and office managers to ensure timely task completion, with hybrid or in-person options and a semi-monthly pay structure.

Qualifications

• PSV experience preferred (1 year)
• Medical provider credentialing experience required (1 year)

Responsibilities

• Handle initial credentialing and enrollment of providers across multiple specialties
• Maintain licenses, certifications, privileges, malpractice coverage, and contract details
• Notify providers and collaborate with practice/office managers to complete tasks; may support Contracting Team on overflow

Skills

Primary Source Verification (PSV)

Medical Provider Credentialing

Time management

Communication with insurers

Job description

Description

The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The Credentialing Specialist will be responsible for the initial credentialing and enrollment of providers for a variety of specialties. Additionally, maintenance of licenses, certifications, privileges, malpractice coverage, and contract specifications (addresses, re-validations, etc.) will be monitored and administrated by the Credentialing Specialist. The Credentialing Specialist is also required to notify providers and work with practice / office managers to facilitate completion of tasks. Professionalism in communication with clients, insurers, and industry contacts is a key component of this position. Duties can vary daily but are expected to be performed within a set period as determined by management. This position may also support our in-house Contracting Team by taking on overflow.

Requirements

Experience:

• Primary Source Verification (PSV): 1 year (Preferred)
• Medical Provider Credentialing: 1 year minimum (Required)

Work Location

Hybrid, or in-person available

Pay

DOE; with semi-monthly pay schedule.

Job Type

W2 Employee, Full-time (40-hours / week)

Full-time Benefits

• 401(k)
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee assistance program (EAP)
• Flexible schedule
• Health insurance
• Health savings account (HSA)
• Life insurance
• Paid time off
• Vision insurance

Schedule

• Day shift
• Monday to Friday

Ability To Commute/relocate

• Hybrid, or In-person available in Tucson, Arizona 85716
• Relocation not available / provided.