Position Overview
Credentialing Specialist Position Summary: The Credentialing Specialist is responsible for managing all aspects of the credentialing, recredentialing, and privileging processes for providers delivering patient care within the clinic and Ambulatory Surgery Center (ASC). This role ensures that all providers and the ASC maintain active, compliant credentials and privileges with health plans, hospitals, and regulatory entities. The Specialist will maintain accurate provider data across credentialing databases and systems, ensure timely renewal of all required documents, and support organizational compliance with payer and agency requirements. Key Responsibilities Credentialing & Compliance Maintain accurate and up-to-date credentialing data for all providers across internal databases and online systems. Complete and manage provider credentialing and recredentialing applications, ensuring timely submission and proactive follow-up. Ensure all provider documents—including state licenses, DEA ...