Part-Time Credentialing Specialist: Licensure, Payers & CAQH

RCA - Recovery Centers of America Management Company; United States; On-site; USD 33,000 - 52,000; Part time

Job summary

RCA - Recovery Centers of America Management Company is seeking a part-time Credentialing Specialist to support licensure, certifications, and payer credentialing tasks. This role ensures required documentation is accurate, up to date, and processed according to procedures, regulatory requirements, and organizational standards.

Under the Credentialing Manager, you will review onboarding documents, prepare applications, track statuses, perform primary source verifications, create CAQH profiles,

Qualifications

• High school diploma required; Associate's degree preferred.
• Healthcare or credentialing experience preferred.
• Knowledge of CAQH and credentialing processes preferred.
• Attention to detail and organizational skills.
• Ability to manage multiple tasks and meet deadlines.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Office and database systems.

Responsibilities

• Review onboarding and credentialing documentation for completeness and accuracy.
• Prepare and submit credentialing and recredentialing applications.
• Track status and log pending/completed submissions.
• Follow up with payers, providers, and internal stakeholders.
• Monitor upcoming license, certification, credential expirations.
• Perform primary source verification and registry checks.
• Create and maintain CAQH profiles and ensure data accuracy.
• Enter credentialing data in internal systems.
• Assist with audits, roster reconciliations, and compliance reporting.
• Support onboarding and offboarding credentialing activities.
• Communicate credentialing status updates to stakeholders.

Skills

Attention to detail

Organizational skills

Multitasking

Written and verbal communication

Microsoft Office

Database systems

CAQH knowledge

Healthcare credentialing experience

Education

High school diploma

Associate's degree preferred

Tools

CAQH

Microsoft Office

Database systems

Job description

RCA - Recovery Centers of America Management Company is seeking a part-time Credentialing Specialist to support licensure, certifications, and payer credentialing tasks. This role ensures required documentation is accurate, up to date, and processed according to procedures, regulatory requirements, and organizational standards.

Under the Credentialing Manager, you will review onboarding documents, prepare applications, track statuses, perform primary source verifications, create CAQH profiles,