Credentialing Specialist: Fast-Paced Healthcare Ops

Mountain State Oral & Facial Surgery; Hurricane (UT); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health Insurance

401k with match

Paid Holidays

Paid Time Off

Wellness Program

Tuition Assistance

Job summary

Mountain State Oral & Facial Surgery in Hurricane, WV seeks a Credentialing Specialist to manage active status for providers through initial and ongoing credentialing with hospitals, centers, Medicare and Medicaid. You will renew licenses, support CAQH/NPPES, and handle recredentialing while collaborating with a team in a fast-paced setting.

The role requires 5 years credentialing experience and strong MS Office skills, with attention to detail and excellent communication.

Qualifications

• Must have high school diploma or equivalent and 5 years credentialing experience.
• Proficiency with Microsoft Office applications (Excel, Word) required.
• Knowledge of government and commercial payer credentialing processes

Responsibilities

• Maintain provider files with up-to-date information for credentialing applications.
• Keep internal provider grid accurate and ensure logins are available.
• Renew provider licenses (Professional, DEA, Controlled Substance) annually.
• Complete revalidation requests by government payers.
• Prepare credentialing applications for commercial payers, Medicare and Medicaid.
• Manage re-credentialing for commercial payers and hospitals.
• Maintain provider profiles on CAQH, PECOS, NPPES and CMS databases.

Skills

Credentialing knowledge

Excel

Verbal and written communication

Interpersonal skills

Detail oriented

Time management

Adaptability in fast paced environment

Policy adherence

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Mountain State Oral & Facial Surgery in Hurricane, WV seeks a Credentialing Specialist to manage active status for providers through initial and ongoing credentialing with hospitals, centers, Medicare and Medicaid. You will renew licenses, support CAQH/NPPES, and handle recredentialing while collaborating with a team in a fast-paced setting.

The role requires 5 years credentialing experience and strong MS Office skills, with attention to detail and excellent communication.