Job Description

Job Title: Credentialing Specialist

Location: Baltimore, MD 21215 (Onsite)

Duration: 26 Weeks

Schedule: Monday–Friday, 8:30 AM–5:00 PM

Job Summary:

Responsible for managing initial and reappointment credentialing applications for healthcare providers, verifying credentials, maintaining accurate provider records, and preparing files for credentialing committee review.

Key Responsibilities:

Process initial and reappointment credentialing applications.
Verify provider licenses, hospital affiliations, references, board certifications, and malpractice insurance.
Conduct primary-source checks through NPDB, OIG, and other regulatory databases.
Maintain credentialing databases, provider files, and reports.
Track applications through committee reviews and prepare files for approval.
Ensure compliance with organizational policies, state regulations, and Joint Commission requirements.

Required Qualifications:

High School Diploma or GED.
1–3+ years of relevant credentialing experience.
Knowledge of provider verification, credentialing databases, and regulatory requirements.

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