Precision Credentialing Specialist for Clinical Onboarding

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Willoughby (OH)

On-site

USD 47,000 - 63,000

Full time

3 days ago
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Job summary

JCCA is seeking a detail-oriented Credentialing Specialist to join the Human Resources team in Willoughby, OH. You will coordinate credentialing and enrollment for clinical practitioners, ensuring timely onboarding and regulatory compliance.

The role requires a Bachelor’s degree with at least two years of related experience, strong attention to detail, and excellent communication. You will work with internal teams and external vendors to maintain accurate records.

Qualifications

  • Bachelor’s degree and at least two years of related experience preferred. Equivalent combinations of education, training, and experience will be considered.
  • Knowledge of healthcare provider credentialing, enrollment, and accreditation principles, processes, documentation, and requirements.
  • Strong attention to detail and the ability to manage multiple priorities, deadlines, and provider files simultaneously.
  • Excellent verbal and written communication and strong interpersonal skills.
  • Ability to analyze information, identify discrepancies, troubleshoot issues, and exercise independent judgment.
  • Ability to work independently while maintaining strong communication and collaboration with the HR and clinical teams.
  • Strong organizational skills and a high level of accuracy.
  • Ability to maintain confidentiality and discretion when handling sensitive provider information.
  • Working knowledge of Microsoft Word and Excel.
  • Ability to learn and effectively use new systems, databases, and applications.

Responsibilities

  • Manage credentialing and enrollment data by entering, updating, and maintaining accurate provider information in systems and databases.
  • Coordinate provider credentialing and re-credentialing activities, ensuring applications and supporting documentation are complete, accurate, and submitted timely.
  • Monitor licenses and credentials, including state licenses, DEA registrations, and board certifications, and proactively track expiration dates to support timely renewals.
  • Review provider files for completeness, accuracy, and compliance with JCCA policies, accreditation standards, and applicable regulatory requirements.
  • Identify and resolve discrepancies and potential barriers that could delay credentialing or enrollment, escalating issues to the HRBP and Managed Care Supervisor when appropriate.
  • Partner with clinical providers and supervisors/managers to obtain required information and documentation and provide timely responses to credentialing questions.
  • Work collaboratively with JCCA’s external credentialing vendor to facilitate efficient processing and timely onboarding of clinical practitioners.
  • Maintain accurate records and ensure credentialing information is consistently documented and up to date.
  • Protect confidential provider information and exercise sound judgment and discretion in all credentialing-related communications.
  • Perform other related duties as assigned.

Skills

Detail-oriented
Credentialing knowledge
Communication skills
Multitasking
MS Word & Excel

Education

Bachelor’s degree
2+ years related experience

Job description

JCCA is seeking a detail-oriented Credentialing Specialist to join the Human Resources team in Willoughby, OH. You will coordinate credentialing and enrollment for clinical practitioners, ensuring timely onboarding and regulatory compliance.

The role requires a Bachelor’s degree with at least two years of related experience, strong attention to detail, and excellent communication. You will work with internal teams and external vendors to maintain accurate records.

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