Credentialing Specialist

Key ResponsibilitiesCredentialing Coordination:Collect and verify provider documentation to meet organizational and regulatory standards.Process applications for initial credentialing and recredentialing.Privileging Management:Review and maintain up-to-date provider privilege information.Coordinate with medical staff offices to ensure accurate privilege assignments.Compliance and Verification:Ensure adherence to accreditation standards and state/federal regulations.Verify licenses, certifications, and professional references.Data Management:Maintain accurate and organized provider records in the credentialing database.Generate reports as required for audits and compliance reviews.Communication and Support:Serve as the liaison between providers, medical staff, and credentialing committees.Address inquiries and resolve discrepancies related to credentialing.QualificationsProven experience in credentialing and privileging processes.Strong knowledge of healthcare regulations and accreditation standards (e.g., Joint Commission, NCQA).Proficiency with credentialing software and database management.Excellent organizational and attention-to-detail skills.Strong communication skills for interfacing with providers and staff.Skills and Certifications [note: bold skills and certification are required]
Joint Commission
NCQA
Security Clearance Required: NoVisa Candidate Considered: NoCompensation
Base Salary - USD $70,000 to $80,000*** Never repost ***Full-timeBenefits - NoneRelocation Assistance Available - NoCommission Compensation - NoBonus Eligible - NoOvertime Eligible - NoInterview Travel Reimbursed - NoCandidate Details2 to 5 years experienceSeniority Level - Mid-SeniorManagement Experience Required - NoMinimum Education - High School Diploma or EquivalentWillingness to Travel - Always

Job Type: Full-time

Pay: $70,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Microsoft Office: 1 year (Preferred)
• Microsoft Word: 1 year (Preferred)

Ability to Commute:

• Rapid City, SD 57701 (Required)

Ability to Relocate:

• Rapid City, SD 57701: Relocate before starting work (Required)

Work Location: In person

Salary : $70,000 - $80,000