Credentialing Specialist

1 week ago


Phoenix, Arizona, United States LHH Full time
Credentialing Specialist Job Description

LHH is seeking a skilled Credentialing Specialist to join our team in Phoenix, AZ. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of healthcare professional credentialing records.

Key Responsibilities:

  • Gather and verify primary source documentation for licenses, board certifications, professional references, malpractice policies, hospital affiliations, and previous work history.
  • Initiate and complete CAQH accounts online.
  • Maintain credentialing database by updating information received during initial credentialing and re-credentialing processes.
  • Assist in compliance with accrediting and regulatory agencies, such as JCAHO and NCQA.
  • Prepare for audits by health plans and maintain confidentiality of provider files.

Requirements:

  • High school diploma or equivalent required.
  • Certification by the National Association of Medical Staff Services in CPMSM or CPCS preferred.
  • 3+ years of credentialing experience in a hospital or managed care setting preferred.

Preferred Skills:

  • Experience in credentialing.
  • Knowledge of primary source verification.

Equal Opportunity Statement: LHH is an equal opportunity employer committed to diversity and inclusivity. If you meet the qualifications and are interested in this role, please apply today.



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