Credentialing Specialist

Job Title:

Key Responsibilities

• Manage end-to-end credentialing and provider KYC processes.
  
• Work with applications/databases such as GSI, GMI, Activity Manager, Cred Viewer, CPF, CAQH, ETQS, NPPES, USPS, PECOS, and CMS.
  
• Track and maintain expiration dates for state DEA licenses, board certifications, malpractice insurance, and other provider credentials.
  
• Conduct outreach via email and phone to provider offices and insurance companies for gathering and verifying information.
  
• Handle provider enrollment processes across different payors and networks.
  
• Maintain and update provider rosters and individual files to ensure compliance.
  

Required Skills & Qualifications

• 1-5 years of experience in provider credentialing and enrollment (healthcare domain).
  
• Strong knowledge of credentialing platforms and databases (CAQH, NPPES, PECOS, CMS, etc.).
  
• Familiarity with regulatory requirements and compliance standards.
  
• Excellent communication skills (verbal & written).
  
• High attention to detail with the ability to manage multiple tasks effectively.
  

Why Join Us?

• Opportunity to manage end-to-end credentialing and enrollment processes.
  
• Hands-on exposure to multiple healthcare systems and compliance platforms.
  
• Collaborative work environment with ample growth opportunities.
  

Next Steps