Provider Credentialing Specialist II

University Health; Kansas City (MO); On-site; USD 52,000 - 76,000; Full time

Job summary

University Health is seeking a Credentialist II - Provider Enrollment in Kansas City, MO to perform credentialing for initial appointments and reappointments with Medicare, Medicaid, and managed care plans. This role supports the Medical Staff Services department under the System Director and requires meticulous credentialing practices.

The position involves maintaining CAQH data, preparing applications, coordinating with payer organizations, and ensuring timely processing of credentialing

Qualifications

• High school diploma or GED required.
• 2 years of hospital or medical office credentialing experience.
• Experience with practitioner administrative activities.
• Strong computer skills and attention to detail.

Responsibilities

• Perform all phases of credentialing for initial appointments and reappointments.
• Maintain credentialing records in software and paper files.
• Prepare and track verification, reappointments, and routine correspondence.
• Maintain CAQH data and track status with managed care organizations.
• Handle administrative duties and support quality improvement and compliance.

Skills

Credentialing

Attention to detail

Communication

Independent judgement

Education

High school diploma or GED

Tools

CAQH

Credentialing software

Job description

University Health is seeking a Credentialist II - Provider Enrollment in Kansas City, MO to perform credentialing for initial appointments and reappointments with Medicare, Medicaid, and managed care plans. This role supports the Medical Staff Services department under the System Director and requires meticulous credentialing practices.

The position involves maintaining CAQH data, preparing applications, coordinating with payer organizations, and ensuring timely processing of credentialing