Credentialing Specialist III

Konsus, Inc. (Superside); United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company seeks a Facility Credentialing Specialist III to oversee remote provider credentialing processes. Key responsibilities include managing applications, maintaining credentialing files, and ensuring compliance with licensure and continuing education standards. Ideal candidates should have substantial experience in credentialing, along with relevant certifications and a strong knowledge of accreditation standards.

Qualifications

• Minimum of five years of experience in credentialing required.
• Knowledge of healthcare provider credentialing processes.
• Certification preferred (CPMSC/CPCS).

Responsibilities

• Processes applications and reappointments for healthcare providers.
• Maintains and updates provider credentialing files and databases.
• Monitors licensure renewals and continuing education requirements.

Skills

Knowledge of NCQA standards

Knowledge of JCAHO Accreditation

Database administration

Proficiency in MS Word

Proficiency in MS Excel

Education

High School diploma or equivalent

A.S. or B.S. degree in a related field

CPMSC/CPCS Certification

Job description

A company is looking for a Facility Credentialing Specialist III to manage provider credentialing processes remotely.

Key Responsibilities

• Processes initial applications and reappointments for healthcare providers
• Maintains and updates provider credentialing files and databases
• Monitors licensure renewals and continuing education requirements for providers

Required Qualifications, Training, and Education

• High School diploma or equivalent; A.S. or B.S. degree in a related field preferred
• CPMSC/CPCS Certification preferred
• Minimum of five years of experience in credentialing
• Knowledge of NCQA and/or JCAHO Accreditation standards
• Proficient in MS Word, MS Excel, and database administration