Credentialing Specialist

Core Health LLC

. Partner with medical providers, hospitals, insurance companies, operations leaders, and other stakeholders to ensure providers are credentialed .

Posted 10/16/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical credentialing processes, including documentation management, compliance, and stakeholder collaboration. Proficient in Microsoft Office and credentialing software, with strong organizational and communication skills to effectively manage provider credentialing and maintain accurate databases.

Highest-signal resume keywords

Medical Credentialing ExperienceCredentialing Software ProficiencyMicrosoft Office ProficiencyExcellent Communication SkillsOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Credentialing Documentation ManagementCredentialing ComplianceDatabase ManagementApplication VerificationMonitoring License Expirations

Soft Skills

Excellent Interpersonal SkillsCustomer Service SkillsJudgment in Decision-MakingAbility to Navigate Competing PrioritiesTeam-Oriented Behaviors

Tools & Technologies

MS OutlookMS WordMS ExcelMS TeamsCredentialing Software

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Healthcare EnvironmentCredentialing RequirementsProvider WorkflowsHealthcare JargonRecredentialing

About the role

Key responsibilities & impact

Partner with medical providers, hospitals, insurance companies, operations leaders, and other stakeholders to ensure providers are credentialed
Manage all aspects of hospital and financial credentialing processes for new hires and existing providers
Handle credentialing documentation, communication, monitoring, and compliance with credentialing specifications
Stay abreast of credentialing and recredentialing requirements for each client group
Request, review, and verify credentialing applications and supporting documentation
Establish and maintain databases of provider details and credentialing data
Monitor provider license and certification expirations to ensure timely renewals
Notify providers and administration of upcoming expirations and documentation requests
Collaborate with hospitals, insurance companies, and other stakeholders to provide information and track the credentialing process
Provide status updates to operations leaders, providers, and other stakeholders
Resolve issues and escalate when appropriate
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or GED required
Prior administrative experience in a healthcare environment
Medical credentialing experience preferred
Experience with MS Outlook, Word, and Excel
Experience with MS Teams and credentialing software preferred
Knowledge of credentialing requirements and workflows for providers at differing client groups
Familiarity with healthcare jargon and terminology related to credentialing
Excellent verbal and written communication skills
Excellent interpersonal and customer service skills
Proficiency in Microsoft Office and credentialing-related software
Excellent organizational skills and attention to detail
Ability to work independently and exercise judgment in decision-making and issue resolution
Ability to navigate competing priorities and work effectively in a fast-paced environment
Ability to manage information flow in a timely and accurate manner
Ability to collaborate with professionals at various client groups and geographic locations
Ability to identify and execute opportunities for improvement
Growth mindset and team-oriented behaviors