Healthcare Credentialing Specialist (Remote After Training)

Sunseeker Property Service; Omaha (NE); On-site; USD 26,000 - 37,000; Full time

Benefits offered by this job

Remote potential after training

Job summary

CommonSpirit Health is seeking a Credentialing Specialist to manage the full lifecycle of provider files, from initial appointment through privileging, ensuring compliance with Joint Commission, NCQA, URAC, and CMS requirements.

The role includes conducting background investigations, primary source verifications, and using our credentialing database to generate reports and monitor eligibility. Local candidates in the Omaha area preferred, with potential remote work after training.

Qualifications

• End-to-end credentialing and re-credentialing.
• Primary source verifications.
• Background investigations.
• Regulatory compliance with Joint Commission, NCQA, URAC, CMS.

Responsibilities

• Coordinate end-to-end credentialing for providers.
• Generate reports and track eligibility in credentialing system.
• Resolve credentialing discrepancies and assist with delegated audits.
• Serve as point of contact for internal and external stakeholders.

Skills

Credentialing

Verifications

Regulatory compliance

Reporting

Data analysis

Education

High School GED/General Studies

High School Graduate/General Studies

Tools

Credentialing database

Job description

CommonSpirit Health is seeking a Credentialing Specialist to manage the full lifecycle of provider files, from initial appointment through privileging, ensuring compliance with Joint Commission, NCQA, URAC, and CMS requirements.

The role includes conducting background investigations, primary source verifications, and using our credentialing database to generate reports and monitor eligibility. Local candidates in the Omaha area preferred, with potential remote work after training.