Credentialing Specialist

Meds.com; United States; On-site; USD 50,000 - 70,000; Full time

Job summary

Meds.com is seeking a detail-oriented Credentialing Specialist to support credentialing and licensing for our Medical Team, including NPs and RNs. You will maintain provider credentials, assist with licensing initiatives, and ensure ongoing compliance with applicable regulations.

Responsibilities include onboarding and maintaining credentialing with state boards, performing primary source verifications, obtaining licenses, and helping develop internal credentialing processes.

Qualifications

• 2-3 years of credentialing experience required.
• Knowledge of credentialing principles, best practices, and medical terminology.
• Ability to manage multiple projects and heavy workload with a positive attitude.
• Excellent attention to detail and time management.
• Flexible and adaptable to changes/challenges.
• People-oriented and collaborative.
• Strong ability to prioritize and coordinate day-to-day tasks.
• Discretion and confidentiality in communications with applicants.
• Bachelor’s degree preferred or equivalent experience.

Responsibilities

• Onboard and maintain credentialing of providers with state boards.
• Manage and review credentialing files for accuracy and completeness.
• Perform primary source verifications via state and national sources.
• Obtain new and renewed state licenses for providers.
• Contribute to development of internal credentialing processes.
• Ensure compliance with licensing laws, regulations, and policies.

Skills

Credentialing

Medical terminology

Attention to detail

Time management

Multitasking

Confidentiality

Team collaboration

Education

Bachelor’s degree preferred

Equivalent experience

Tools

Credentialing platform

Job description

We’re looking for a detail-oriented and organized Credentialing Specialist to join our team!

Reporting to the Credentialing Manager, the Credentialing Specialist is responsible for supporting all aspects of the credentialing and state licensing processes for our Medical Team, including Nurse Practitioners and Registered Nurses. This role works closely with the Credentialing Manager and Credentialing Lead to maintain accurate and up-to-date provider credentials, support licensing initiatives, ensure ongoing compliance with applicable requirements, and contribute to the successful implementation of departmental goals and initiatives.

• Onboard and maintain credentialing of providers with state boards
• Manage and review credentialing files on credentialing platform for accuracy and completeness
• Perform primary source verifications via various state and national sources
• Obtain new and renewed state licenses for providers
• Participate in the development of internal credentialing processes
• Ensure compliance with applicable laws, licensing requirements, regulations, procedures, and policies

Education and/or Work Experience Requirements:

• 2-3 years of relevant professional experience in credentialing
• Knowledge of credentialing principles, best practices, and medical terminology
• Ability to manage multiple projects and heavy workload simultaneously with a positive attitude
• Excellent attention to detail and time management skills
• Flexible and adaptable to changes/challenges
• People-oriented and collaborative
• Skill in establishing priorities with independent coordination of day-to-day aspects
• Ability to maintain confidentiality and discretion in all communications on behalf of credentialing applicants and/or applications
• Bachelor’s degree preferred or equivalent experience