Credentialing - Corporate
The Credentialing Specialist is responsible for managing and verifying healthcare provider credentials to ensure compliance with federal, state, client, and company requirements. This role supports the onboarding and ongoing compliance of healthcare professionals placed in client facilities, including hospitals, clinics, and government healthcare systems.
Qualification and Requirements
Education and Experience
- Associate degree or equivalent with Healthcare Admin experience
- One year or more of administrative experience preferably in healthcare
Key Responsibilities
Credential Verification
- Review and verify healthcare provider credentials including licenses, certifications, education, work history, and references.
- Ensure compliance with client, state, federal, and company credentialing requirements.
- Conduct primary source verification for licenses and certifications.
Onboarding & Compliance
- Coordinate onboarding requirements such as background checks, drug screens, immunizations, and health records.
- Track credential expiration dates and ensure timely renewals.
- Maintain compliance with healthcare regulatory standards.
Documentation Management
- Maintain accurate provider files in the Applicant Tracking System (ATS) or credentialing platform.
- Upload, track, and audit documentation to ensure all records are complete and up to date.
- Prepare credentialing packets for client submission.
Client & Internal Communication
- Work closely with recruiters and program managers to ensure candidates meet contract requirements.
- Communicate credentialing requirements and updates to candidates.
- Address credentialing issues and escalate when necessary.
Quality & Compliance
- Ensure all credentialing processes meet regulatory standards and company policies.
- Assist with internal audits and client compliance audits.
- Maintain confidentiality of sensitive employee and provider information.
GhostRX, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, protected veteran status, or any other characteristic protected by applicable law.
If you are unable to apply due to a disability, you may request a reasonable accommodation by contacting [email protected] or dialing 711 (TTY). This contractor and subcontractor abides by the requirements of 41 CFR 60‑1.4(a), 41 CFR 60‑300.5(a), and 41 CFR 60‑741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of protected veteran status or disability and require affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans and individuals with disabilities.