Credentialing Associate

Job Title: Credentialing Associate

Location:

You will:

• Conduct thorough background checks and verify licenses/certifications.
• Collaborate with internal teams to resolve credentialing issues.
• Stay updated on healthcare regulations and assist in refining credentialing policies for operational efficiency.

Your contribution will directly impact the quality of healthcare services by ensuring only qualified professionals are credentialed.

Roles & Responsibilities:

• Oversee credentialing processes ensuring compliance with regulatory standards.
• Collect, review, and verify documentation (licenses, certifications, work history).
• Maintain and update credentialing databases with accurate provider information.
• Track credentialing status, expirations, and re-credentialing timelines using software tools.
• Act as the primary contact for healthcare providers during the credentialing process.
• Collaborate with HR and Legal teams to meet credentialing requirements.
• Conduct audits to identify improvement areas and ensure compliance.
• Prepare detailed reports on credentialing activities for leadership review.
• Stay current with state and federal regulations.
• Assist in developing and implementing credentialing policies aligned with best practices.

Share your CV : aditysingh@northcorp.tech