Credentialing Specialist

1 day ago


Baltimore, Maryland, United States nTech Workforce Full time
Job Title: Credentialing Specialist

We are seeking a highly skilled Credentialing Specialist to join our team at nTech Workforce. As a Credentialing Specialist, you will play a critical role in supporting the credentialing of new practitioners for network participation within our organization's Behavioral Health Network.

Key Responsibilities:

  • Verify provider eligibility and criteria for participation in our network.
  • Manage and maintain accurate provider data within our enterprise-wide Provider file.
  • Respond to inquiries regarding provider participation eligibility and criteria, participation status, credentialing, and provider file updates.
  • Identify and resolve provider file issues in a timely and efficient manner.

Requirements:

  • 2+ years of experience in credentialing in the healthcare/health insurance industry.
  • Primary sourcing of credentials (licenses, work experiences, etc.).
  • Experience using Pivot Tables and VLOOKUPs in Microsoft Excel.
  • Delegated provider credentialing experience.
  • Highly skilled in Microsoft Office, particularly Microsoft Excel.

Preferred Qualifications:

  • Experience using MD-STAFF or similar provider credentialing database.

About nTech Workforce:

nTech Workforce is a leading provider of workforce solutions. We are committed to delivering exceptional service and support to our clients and candidates. If you are a motivated and detail-oriented individual with a passion for credentialing, we encourage you to apply for this exciting opportunity.



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