Credentialing Specialist - Provider Compliance

GSOS Overseas Placement OPC Private Limited; Los Gatos (CA); On-site; USD 60,000 - 75,000; Full time

Job summary

Golden State Orthopedics & Spine seeks a Credentialing Specialist to manage the full cycle of provider credentialing and re-credentialing. The role requires maintaining up-to-date licenses, certifications, and required documents, and updating provider data in the MODIO credentialing system to ensure regulatory compliance.

You will prepare and submit credentialing applications, monitor progress, and track expirations to prevent lapses, contributing to a compliant and efficient practice.

Qualifications

• High School Diploma or GED certificate.
• 2+ years' experience in a medical office (preferred).
• Work and Excel experience (required).
• EHR/EMR experience (preferred).
• Must be able to commute.

Responsibilities

• Preparing credentialing and re-credentialing applications on behalf of physicians/providers
• Completing credentialing and re-credentialing applications; monitor applications and follow-ups as needed
• Gathering, organizing, and maintaining copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
• Tracking license and certification expirations for all providers to ensure timely renewals
• Maintaining and updating credentials in MODIO credentialing database

Skills

Medical office experience

Microsoft Excel

EHR/EMR experience

Education

High School Diploma or GED

Tools

MODIO credentialing database

Job description

Golden State Orthopedics & Spine seeks a Credentialing Specialist to manage the full cycle of provider credentialing and re-credentialing. The role requires maintaining up-to-date licenses, certifications, and required documents, and updating provider data in the MODIO credentialing system to ensure regulatory compliance.

You will prepare and submit credentialing applications, monitor progress, and track expirations to prevent lapses, contributing to a compliant and efficient practice.