• Credentialing Specialist

    Job Locations US-PA-New Castle
    Posted Date 3 months ago(12/24/2018 12:16 PM)
    Job ID
    # of Openings
    Revenue Cycle
  • Overview



    The Credentialing Specialist ensures all new and existing doctors’ applications have been filled out correctly and in a timely manner for providers to be in-network with our payers.  While also ensuring each provider has current licensure on file and the credentialing database is maintained correctly and timely.




    • Correctly complete credentialing applications including CAQH , obtain doctor’s signature and send to payers for credentialing in a timely manner
    • Obtain credentialing information, licensure, malpractice from new doctors on-boarding
    • Maintain the credentialing database with current information and effective dates
    • Handle re-credentialing of all existing doctors
    • Follow up with doctors on expired licensure
    • Collect and maintain payer information in the credentialing database to ensure correct reporting can be utilized




    • High school diploma required



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