Credentialing Specialist

BerryDunn — Assurance, Tax and Consulting

. Complete credentialing and re-credentialing applications for physicians, ancillary providers, facilities, or groups with third-party payers and governmental programs, including Medicare and Medicaid .

Posted 10/26/2026full-timeRemote • United StatesJuniorMid-Level💰 $56,000 - $61,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Credentialing processes, including Primary Source Verification and maintaining accurate provider databases. Proficient in managing deadlines and communicating effectively with healthcare providers and stakeholders.

Highest-signal resume keywords

CredentialingPrimary Source VerificationCertified Provider Credentialing Specialist (CPCS)Medical BillingMicrosoft Office Suite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CredentialingPrimary Source VerificationMedical BillingDatabase ManagementTime Management

Soft Skills

Effective CommunicationOrganizationAttention to DetailTeam CollaborationIndependence

Tools & Technologies

Microsoft Office SuiteAdobeTime and Attendance Software

Certifications & Qualifications

Certified Provider Credentialing Specialist (CPCS)Certified Professional in Medical Staff Service Management (CPMSM)

Industry Keywords

HealthcareCredentialing ApplicationsPayer IdentificationMedicareMedicaid

About the role

Key responsibilities & impact

Complete credentialing and re-credentialing applications for physicians, ancillary providers, facilities, or groups with third-party payers and governmental programs, including Medicare and Medicaid
Perform Primary Source Verification services, including verification of licenses, malpractice, and work history
Perform Primary Source Verification file audits as requested
Complete, update, and maintain CAQH profiles for providers
Maintain the Credentialing database with payer identification numbers and effective dates
Partner with client liaisons and billing departments to update provider enrollment status
Contact payers to follow up on submitted applications
Respond to inquiries from physicians, staff, hospitals, and managed care companies
Communicate with providers or designees to obtain credentialing information and required documents
Regularly update clients on process and communicate delays
Inform Credentialing leadership of project status and help manage deliverables and deadlines
Accurately record billable and non-billable hours in time and attendance software

Requirements

What you’ll need

High school education required
Bachelor’s degree preferred
2-3 years of relevant healthcare experience required, including specialized skills in Credentialing and/or Medical Billing
Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Staff Service Management (CPMSM) certification a plus
Ability to work independently and in a team setting
Exceptional organization and time management skills to manage priorities and deadlines
Effective verbal, interpersonal, and written skills
Strong attention to detail and quality
Proficiency with Microsoft Office suite (Word, Outlook, Teams) and Adobe; Excel preferred
Minimal travel, less than 10% per year

Benefits

Comp & perks

Eligible employees have access to benefits supporting physical, mental, career, social, and financial well-being
Reasonable accommodation for the application, interview, and job performance process
Equal employment opportunity workplace
Learning, development, and well-being culture focus