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.
