Credentialing Specialist

FamilyCare; West Virginia; On-site; USD 38,000 - 58,000; Full time

Job summary

FamilyCare Health Center in West Virginia is seeking a Credentialing Specialist to manage provider credentialing and re-credentialing processes across all locations. The role ensures data accuracy, maintains licenses and documents, and tracks expirations while coordinating with health plans.

You will handle applications, monitor status, and support onboarding for patient care providers. This non-remote, full-time position emphasizes attention to detail and strong administrative skills.

Qualifications

• High school diploma or equivalent.
• Strong customer service, telephone, and computer skills.
• Familiar with credentialing and re-credentialing processes.

Responsibilities

• Complies and maintains current and accurate data for all providers.
• Completes provider credentialing and re-credentialing applications and follows up as needed.
• Maitains copies of licenses, malpractice coverage and required documents.
• Tracks licensure and certifications expiration for all providers.
• Ensures addresses are current with health plans.
• Maintains collaborative agreements with providers.

Skills

Customer service

Telephone skills

Computer skills

Credentialing knowledge

Education

High school diploma or equivalent

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Credentialing Specialist

Billing Full Time Scott Depot, WV, US

Physical Requirements:

The employee is regularly required to talk, hear, and sit. Repetitive arm, hand, and finger movements are regularly required. The employee is frequently required to stand, walk, stoop, and reach. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. This is NOT a remote position.

Qualifications:

High school graduate or equivalent. Excellent customer service, telephone, and computer skills. Knowledge of credentialing and re-credentialing process.

Basic Function:

Responsible for all aspects of the credentialing and re-credentialing processes for all providers who provide patient care at WomenCare Inc dba FamilyCare Health Center and all locations.

Duties and Responsibilities:

Site and Provider Credentialing:

• Complies and maintains current and accurate data for all providers
• Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed
• Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
• Maintains knowledge of current health plan requirements for credentialing providers
• Completes setup and maintains provider information in online credentialing databases
• Tracks license and certifications expiration for all providers
• Ensures practice addresses are current with all health plans
• Maintains collaborative agreements with providers