Credentialing Specialist: Provider Verifications & Compliance

MHM Support Services; United States; On-site; USD 52,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Tuition support

Matched retirement plans

Paid time off

Job summary

Mercy is seeking a detail-oriented Credentialing Specialist to verify and coordinate credentialing for thousands of practitioner files across timeframes and regulatory standards. You will prepare and send applications, gather information, and communicate with applicants to complete the process.

Ideal candidates have a Bachelor's degree or relevant data entry/credentialing experience, with CPCS and/or CPMSM certifications preferred.

Qualifications

• Bachelor's degree preferred; can substitute with relevant experience.
• Experience in credentialing or database entry preferred.
• Detail oriented with ability to work in fast-paced environments.
• CPCS and/or CPMSM certifications preferred; must be earned within two years of eligibility.

Responsibilities

• Coordinate verification of thousands of practitioner files within required timeframes.
• Prepare and send credentialing applications; gather information and communicate with applicants to complete processing.
• Ensure compliance with accrediting and regulatory standards across Mercy networks.

Skills

Attention to detail

Deadline driven

Analytical skills

Verbal & written communication

Education

Bachelor's degree

CPCS Certification

CPMSM Certification

Tools

Credentialing software

Data entry

Job description

Mercy is seeking a detail-oriented Credentialing Specialist to verify and coordinate credentialing for thousands of practitioner files across timeframes and regulatory standards. You will prepare and send applications, gather information, and communicate with applicants to complete the process.

Ideal candidates have a Bachelor's degree or relevant data entry/credentialing experience, with CPCS and/or CPMSM certifications preferred.