Credentialing Specialist — Hybrid Provider Onboarding

The Elevance Health Companies, Inc.; Boght Corners (NY); Hybrid; USD 28,000 - 43,000; Full time

Benefits offered by this job

Health insurance

401(k) contribution

Job summary

Elevance Health, Inc. is hiring a Credentialing Specialist in New York for a hybrid role requiring in-office presence 1–2 days per week. The position supports provider credentialing processes, file preparation for committees, and documentation accuracy across diverse provider applications.

You will review applications, request missing information, and resolve discrepancies while coordinating with providers and senior staff. A high school diploma and credentialing experience are expected.

Qualifications

• Requires at least 1 year credentialing or related experience.
• Credentialing/practitioner and facility credentialing preferred.

Responsibilities

• Receives provider applications and contacts providers for any additional supporting documentation or clarification.
• Builds file documentation and prepares file for credentialing committee review.
• Applies general guidelines in determining whether provider meets criteria and documents deficiencies.
• Prepares correspondence to providers regarding status.
• Assists in researching pended and probated applications and resolving discrepancies.
• Refers non-approved providers or questionable situations to senior representative.
• May assist in provider education and preparation of provider training materials.

Skills

Credentialing

Documentation

Education

High school diploma or equivalent

Job description

Elevance Health, Inc. is hiring a Credentialing Specialist in New York for a hybrid role requiring in-office presence 1–2 days per week. The position supports provider credentialing processes, file preparation for committees, and documentation accuracy across diverse provider applications.

You will review applications, request missing information, and resolve discrepancies while coordinating with providers and senior staff. A high school diploma and credentialing experience are expected.