Credentialing Specialist

Estimated Pay Range

$21.01 - $31.51 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules.

Department Name

BH Central Verification Office - Corp

Work Shift

Day

Job Category

Clinical Support

Location & Schedule

This Credentialing Specialist role is remote with a preference for candidates in Arizona and Colorado. The schedule is Monday – Friday, 8 hour days with some flexibility.

Role Overview

In this role you will be expected to evaluate requests, send credentialing applications, and analyze submitted applications for completeness. You will collaborate with other teams such as Physician Recruitment, Medical Staff Services, Practice Managers, etc., and support our nationally-recognized healthcare leader.

Position Summary

This position performs the department’s credentialing work as outlined in the policies and procedures, obtains all primary source information, and maintains records of highly confidential information protected by applicable state statutes.

Core Functions

• Performs the appropriate credentialing processes in a timely and complete manner.
• Performs analysis and appropriate follow‑up, working with many individuals to acquire necessary materials and information.
• Performs relevant data entry into the database to ensure consistency and integrity of the data.
• Processes appropriate queries for expired licensure or any regulatory credentialing requirement and maintains documentation in the database.
• Manages own duties and functions independently, exercising high degree of independent judgment on complex and sensitive credentialing issues.
• Handles physician inquiries and problems within the scope of the job function and keeps supervisors apprised of all issues as they occur.
• Provides optimal customer service to meet organizational expectations.

Minimum Qualifications

• A strong knowledge of business and/or healthcare, normally obtained through an associate’s degree. • Three years of credentialing and/or process management and operations experience. • Basic knowledge of medical terminology, medical staff organization, and extensive credentialing procedures. • Experience interacting with physicians and allied health professionals, their office credentialing representatives, and hospital personnel. • Excellent verbal and written communication skills, with strong judgment in human relations. • Ability to meet deadlines in a multi‑functional task environment and maintain efficiency and timeliness in daily activities. • Excellent organizational skills and operational knowledge of work processing, spreadsheets, data entry, fax machines, and related computer skills.

Preferred Qualifications

National Certified Provider Credentialing Specialist (NCPCS) certification preferred.

Employment Details

• Seniority level: Associate
• Employment type: Full‑time
• Job function: Health Care Provider
• Industry: Hospitals and Health Care

EEO Statement

EEO/Disabled/Veterans. Our organization supports a drug‑free work environment.

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