Credentialing Specialist

Job Description

Job Description

Description : Job Summary :

Charter Oak Health Center is seeking a Credentialing Specialist to join our team. In this role you will be responsible for credentialing clinical staff, managing enrollment with commercial vendors, and handling clerical tasks and special projects as needed.

Key Responsibilities :

• Verify provider credentialing applications and documentation (education, employment, licenses, certifications).
• Perform background checks including NPDB, OIG Exclusion List, and AMA profiles.
• Prepare documentation for initial and reappointment of privileges for the Credentialing Committee.
• Update the credentialing roster and provider carrier enrollment list daily.
• Coordinate provider enrollment and maintenance with Medicaid, Medicare, and commercial insurances.
• Assist with credentialing software implementation and maintenance.
• Maintain confidentiality of credentialing data.
• Perform additional duties as needed and maintain good attendance.

Compliance Responsibilities :

Requirements : Qualifications :

Charter Oak Health Center Offers Outstanding Benefits That Include :

COHC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran .