Provider Credentialing Specialist

Socket.dev; Chicago (IL); On-site; USD 42,000 - 58,000; Full time

Job summary

Zing Health seeks a Credentialing Coordinator to manage all credentialing materials, perform verifications, and maintain provider credentials. You will build relationships across Zing Health’s network and internal teams to ensure timely processing of credentialing files.

Responsibilities include reviewing applications, verifying licenses and malpractice history, and producing regular credentialing reports. Strong organization and communication skills are essential for success in this role.

Qualifications

• Navigates complex health plan enterprise systems and policy criteria.
• Analyzes data to identify trends and variances from goals.
• Comprehends JCAHO and state/federal credentialing requirements.

Responsibilities

• Ensure credentialing files are complete with necessary documentation.
• Review applications, perform primary source verification, and forward files for processing.
• Audit provider directories and generate network/ad hoc reports.
• Support Credentialing Committee meetings and manage multiple tasks efficiently.

Skills

Navigate complex health plan systems

Data analysis

JCAHO standards knowledge

Autonomous working

Effective communication

Attention to detail

Microsoft Office

Education

High School Diploma

Tools

Microsoft Office

Job description

Zing Health seeks a Credentialing Coordinator to manage all credentialing materials, perform verifications, and maintain provider credentials. You will build relationships across Zing Health’s network and internal teams to ensure timely processing of credentialing files.

Responsibilities include reviewing applications, verifying licenses and malpractice history, and producing regular credentialing reports. Strong organization and communication skills are essential for success in this role.