Credentialing Specialist – Hybrid (Milwaukee)

mcw; Wauwatosa (WI); Hybrid; USD 25,000 - 30,000; Full time

Benefits offered by this job

Health insurance

Tuition reimbursement

Paid parental leave

EFAP (Employee & Family Assistance)

Job summary

MCW is seeking Credentialing Assistants to support background verification, file preparation, and enrollment maintenance for provider and clinical site credentialing. The role requires attention to detail and accuracy in a high-volume environment.

Position is hybrid (60% onsite, 40% remote) and requires residence in the Metro Milwaukee, WI area. The team handles Medicare/Medicaid enrollment and CBAP processes for hiring and credentialing decisions.

Qualifications

• High school diploma required.
• At least 2 years of related experience preferred.

Responsibilities

• Prepares re-credentialing files for review by MCW Credentialing Committees.
• Verifies information from identified primary sources and pursues missing forms.
• Prepares Individual Status Reports from primary source verifications.
• Enrolls new MCW providers into Medicare and Medicaid programs and ensures application completeness.
• Coordinates with government payers to secure and transmit enrollment materials.
• Prepares CBAP files for review in hiring decisions for clinical departments.
• Maintains CBAP candidate records and tracks progress in spreadsheets.

Skills

Quality control

Customer service

Information management

Recordkeeping

Interpersonal skills

Oral communication

Listening

Patience

Education

High school diploma

Tools

Spreadsheet software

Job description

MCW is seeking Credentialing Assistants to support background verification, file preparation, and enrollment maintenance for provider and clinical site credentialing. The role requires attention to detail and accuracy in a high-volume environment.

Position is hybrid (60% onsite, 40% remote) and requires residence in the Metro Milwaukee, WI area. The team handles Medicare/Medicaid enrollment and CBAP processes for hiring and credentialing decisions.