
Healthcare Credentialing Expert
1 week ago
As a Credentialing Specialist, you will be responsible for ensuring accuracy and compliance across provider credentialing workflows.
You will coordinate directly with providers, insurance companies, and facilities to secure approvals, manage sensitive documentation, and maintain audit-ready credentialing records.
Key Responsibilities:- Manage the full provider credentialing lifecycle from document collection to final approvals
- Verify licenses, certifications, education, and work history for compliance and accuracy
- Liaise with insurance companies, surgery centers, and other entities to secure privileging approvals
- Edit, merge, and format credentialing documents using Adobe Acrobat Pro with zero errors
- Maintain well-organized digital records and ensure audit readiness at all times
- Track deadlines, expirations, and renewals using structured systems to prevent lapses
- Communicate clearly and professionally with providers and external stakeholders
- Minimum 2 years of medical credentialing or healthcare administration experience
- Demonstrated ability to manage end-to-end credentialing workflows independently
- Strong proficiency in Adobe Acrobat Pro (merging, annotating, redacting, formatting)
- Advanced Google Workspace skills, including Docs, Sheets, and Drive
- Excellent written and verbal communication skills in English
- High attention to detail with proven organizational precision
- Ability to work consistently within PT business hours (8:30 AM – 5:00 PM)
- Stable wired internet connection of at least 25 Mbps with a backup option
- Familiarity with anesthesia terminology
- Prior experience liaising with insurance companies and surgery centers
- Background in medical records management or healthcare office operations
- Experience generating compliance and credentialing reports
- Exposure to HIPAA/PHI handling practices
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