Credentialing Specialist

Empath Health; United States; Hybrid; USD 58,000 - 74,000; Full time

Job summary

Empath Health is seeking a full-time hybrid Credentialing Specialist to manage credentialing, re-credentialing, and privileging for medical providers, ensuring plan compliance and up-to-date provider data. You will track documents, complete payor enrollment, and maintain provider information in online portals, collaborating with teams to meet credentialing requirements.

CPCS certification is preferred; a minimum of an associate degree or 6 months+ related experience is required, with 3+ years of

Qualifications

• Associate degree or equivalent experience required or six months to one year related experience.
• Minimum of three years credentialing experience preferred.
• CPCS certification preferred or actively pursuing certification.
• Strong computer skills with Word, Excel, and PowerPoint.
• Demonstrated accuracy and dependability in credentialing processes.

Responsibilities

• Track and maintain credentialing documents for all providers, including licenses and malpractice coverage.
• Complete payor enrollment applications and maintain provider information in online portals.
• Collaborate with teams to ensure credentialing requirements are met and support hospital privilege maintenance.
• Maintain up-to-date provider data across systems and portals.
• Support the credentialing and privileging workflow to ensure timely and compliant provider onboarding.

Skills

Attention to detail

Dependability

Communication skills

Education

Associate degree or equivalent experience

CPCS certification (preferred)

Tools

Word

Excel

PowerPoint

Job description

To support a growing healthcare organization, the full-time hybrid Credentialing Specialist will manage the credentialing, re-credentialing, and privileging processes for medical providers, ensuring compliance with health plans and maintaining up-to-date provider data.

Key responsibilities

• Tracks and maintains required credentialing documents for all providers, including licenses and malpractice coverage
• Completes payor enrollment applications and maintains provider information in online portals
• Collaborates with various teams to ensure all credentialing requirements are met and supports hospital privilege maintenance for medical providers

Required qualifications

• Associate's degree or equivalent experience; or six months to one year of related experience
• Minimum of three years of relevant credentialing experience preferred
• Certified Provider Credentialing Specialist (CPCS) preferred or actively pursuing certification
• Strong computer skills with advanced competence in Word, Excel, and PowerPoint
• Demonstrated accuracy and dependability in managing credentialing processes