Credentialing Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

Medix · 22 hours ago

Credentialing Specialist

Medix is dedicated to providing workforce solutions across various industries and has been recognized as one of the Best and Brightest Companies to Work For. They are seeking a detail-oriented Credentialing Specialist to support a high-volume credentialing team, ensuring providers are fully credentialed and compliant prior to their start dates.

MedicalPharmaceuticalWholesale

Responsibilities

Perform primary source verification for providers seeking hospital privileges and/or medical group participation
Ensure compliance with NCQA and accreditation standards (JCAHO, AAAHC, URAC)
Review, validate, and compile credentialing files and packets
Act as a liaison between Medical Directors, Medical Staff Offices, providers, and internal stakeholders
Track provider effective dates and termination dates
Maintain ongoing follow-up to ensure credentialing completion prior to provider start dates
Support both initial credentialing and re-credentialing files

Qualification

Credentialing experienceNCQA standardsMedical Staff Office experienceMedical Staff credentialing softwareDetail-orientedIndependent work

Required

High School Diploma or GED required
Ideally 3+ years of credentialing experience (open to slightly less for strong candidates)
Experience credentialing providers (MDs, DOs, DEA, licenses, CSR, residencies, etc.)
Knowledge of NCQA standards and credentialing regulations
Ability to work independently in a heads-down, detail-heavy environment

Preferred

Experience with Medical Staff credentialing software (MD-Staff preferred, not required)
Medical Staff Office credentialing experience strongly preferred

Benefits

Medical, Dental, Vision Insurance
Retirement Plan
Paid Time Off (PTO)
Employee Assistance Program (EAP)
Gym and wellness discounts

Company

At Medix Distribution, we have designed solutions to meet the medical needs for the betterment of society as a whole.

Funding

Current Stage
Early Stage
Company data provided by crunchbase