Credentialing Specialist

We are looking for a Hybrid Credentialing Specialist to support provider enrollment and credential maintenance for a healthcare organization in Minnesota. This Long-term Contract position focuses on keeping practitioner records accurate, complete, and compliant while coordinating application activity and required follow-up. The ideal candidate will be detail-oriented, organized, and comfortable working directly with providers, health plans, and internal stakeholders to keep credentialing files current.

Responsibilities:

• Maintain complete and up-to-date provider files by organizing credentialing documentation and updating records as new information is received.

• Track expiration dates for licenses, certifications, health documents, and continuing education items to help ensure renewals are completed on time.

• Prepare and submit initial credentialing and reappointment applications, then follow up proactively to move each file toward completion.

• Examine incoming applications and supporting materials for accuracy, consistency, and missing information before processing.

• Communicate with providers to obtain required documents and confirm that all credentialing records remain current.

• Conduct primary and secondary verifications to validate provider qualifications and supporting credentialing data.

• Respond to requests from hospitals and health plans by supplying necessary credentialing information for provider files.

• Protect sensitive records by following confidentiality standards and secure document handling practices.

• Partner with the credentialing manager to address file discrepancies, application delays, and other credentialing-related issues.

Qualifications:

• Prior experience in provider credentialing, physician credentialing, or a closely related healthcare administrative function.

• Working knowledge of credentialing workflows, including initial appointments, reappointments, and verification activities.

• Ability to manage multiple applications and renewal timelines with strong attention to detail and accuracy.

• Experience reviewing documentation for completeness and resolving missing or inconsistent information.

• Strong written and verbal communication skills for working with providers, hospitals, health plans, and internal teams.

• Understanding of confidentiality expectations and secure handling of sensitive provider records.

• Proficiency with standard office systems and databases used to maintain credentialing documentation such as CredentialStream.

• Familiarity with re-credentialing application processes and ongoing provider file maintenance.

Compensation

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