Credentialing Specialist

• Secure and maintain critical provider credentials for the Ambulatory Surgery Center
• Manage the end-to-end credentialing and re-credentialing lifecycle for medical staff
• Serve as internal expert on state licensing and facility privileges
• Lead enrollment for government and commercial payors
• Ensure quality, accuracy and timeliness of primary source verification
• Prepare, populate and submit initial credentialing and re-credentialing applications
• Plan, manage and execute cyclical reappointment for active medical staff
• Partner with hospitals and providers to streamline document collection and credentialing workflow
• Update credentialing files, tracking tools and internal task lists
• Complete designated credentialing tasks within the onboarding checklist
• Perform monthly audits of expiring licenses, DEA documentation and board certifications
• Document workflow steps, provider numbers, effective dates and official correspondence
• Conduct outreach regarding pending credentials or documentation bottlenecks
• Liaise with physicians, external clients and internal teams regarding credentialing updates
• Help maintain and distribute active provider and physician schedules
• Perform clerical functions including high-volume data entry, faxing, scanning and digital filing
• Assist other areas as needed
• Maintain a safe, clean and organized workspace