Credentialing Specialist

We are looking for a Credentialing Specialist to support provider enrollment and verification activities for a Long-term Contract position based in the Bridgewater, NJ area. This role focuses on maintaining accurate credentialing records, coordinating documentation, and helping ensure practitioners meet organizational and regulatory standards. The ideal candidate brings hands-on experience with provider and physician credentialing processes and is comfortable managing recurring re-credentialing activities with strong attention to detail.

Responsibilities:

• Manage initial and ongoing credentialing activities for providers and physicians, ensuring files are complete, accurate, and submitted within required timelines.

• Review applications and supporting documentation to confirm licensure, certifications, work history, and other required credentials.

• Coordinate re-credentialing cycles by tracking expiration dates, requesting updated materials, and following up to avoid processing delays.

• Maintain organized credentialing records and update internal databases with current provider information and status changes.

• Communicate with practitioners, internal teams, and external organizations to resolve missing information and support timely approvals.

• Monitor compliance with established credentialing procedures, payer requirements, and applicable standards throughout the process.

• Prepare documentation packets and status updates for audits, committee review, or leadership reporting as needed.

Qualifications:

• At least 1 year of experience in credentialing, provider credentialing, or physician credentialing.
• Working knowledge of credentialing workflows, including primary source verification and re-credentialing activities.
• Experience reviewing applications and validating documents for accuracy and completeness.
• Ability to manage multiple files and deadlines while maintaining strong attention to detail.
• Clear written and verbal communication skills for coordinating with providers and cross-functional teams.
• Proficiency with data entry, record maintenance, and general administrative systems used in credentialing environments.

Compensation

$25.00-$31.00 Hourly

About Us

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