Credentialing Specialist: Provider Verification & Compliance

SEMRHI; Hattiesburg (MS); On-site; USD 42,000 - 64,000; Full time

Job summary

Southeast Mississippi Rural Health Initiative, Inc. is seeking a Credentialing Specialist to support management in credentialing operations.

Under the Director of Insurance & Billing, you will verify certifications and complete processing for providers and facilities, ensuring timely updates and accuracy across databases. You will maintain credentialing files, communicate with staff and providers, monitor deadlines, and collaborate with centers to meet insurance credentialing requirements while

Qualifications

• High school diploma or GED; some college preferred.
• Strong typing, grammar, and communication skills.
• Experience with credentialing or administrative office work.
• Ability to multi-task and work with minimal supervision.
• Commitment to confidentiality and accuracy.

Responsibilities

• Verify provider certifications and complete credentialing processing.
• Manage credentialing documents for providers, centers, and the corporation.
• Maintain credentialing files and ensure timely updates.
• Communicate with staff, patients, and providers with professionalism.
• Monitor deadlines and coordinate with insurance credentialing deadlines.
• Assist with in-service programs and meetings as needed.
• Ensure confidentiality of patient and provider information.

Skills

Communication skills

Typing speed

Computer literacy

Multitasking

Work without supervision

Confidentiality

Education

High school diploma or GED

Some college preferred

Tools

Office software

Medical records systems

Job description

Southeast Mississippi Rural Health Initiative, Inc. is seeking a Credentialing Specialist to support management in credentialing operations.

Under the Director of Insurance & Billing, you will verify certifications and complete processing for providers and facilities, ensuring timely updates and accuracy across databases. You will maintain credentialing files, communicate with staff and providers, monitor deadlines, and collaborate with centers to meet insurance credentialing requirements while