Iowa Licensed Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to manage provider credentialing in an urgent care/primary care setting.

Key Responsibilities

• Enroll providers with payors and manage contracting and re-credentialing processes
• Collect and confirm provider information for reporting to accrediting and licensing agencies
• Coordinate with the billing department to address credentialing issues and ensure compliance

Required Qualifications

• Associate Degree preferred
• Certified Professional Biller or Certified Professional Coder preferred
• 2+ years' experience in a medical office, particularly in claims, billing, insurance, and medical records
• 2 years of credentialing experience required
• Knowledge of healthcare insurance rules and RHC credentialing guidelines