Credentialing Specialist

Credentialing Clerk

Position Summary

The Credentialing Clerk provides administrative and clerical support to the Medical Staff

Credentialing and Payer Enrollment department. This position assists with the processing,

organization, tracking, and maintenance of provider credentialing and recredentialing files to

ensure accurate, timely, and compliant completion of credentialing activities.

Essential Duties and Responsibilities

● Provide administrative support to the Medical Staff Credentialing team, Credentialing

Manager, and Medical Staff Services.

● Assist with the initial credentialing and recredentialing process for physicians,

advanced practice providers, and other healthcare practitioners.

● Prepare, organize, scan, upload, and maintain provider credentialing files and

supporting documentation.

● Review credentialing applications for completeness and identify missing or expired

documentation.

● Track outstanding items and follow up with providers, office staff, hospitals, licensing

agencies, and other entities as needed.

● Assist with primary source verification of provider credentials, including licenses, DEA

registrations, board certifications, education, training, work history, and other required

credentials.

● Enter and maintain accurate provider information in credentialing databases and

electronic systems.

● Monitor expiration dates for licenses, certifications, registrations, malpractice

insurance, and other required documents.

● Assist with maintaining provider spreadsheets, tracking reports, credentialing logs,

and departmental databases.

● Prepare correspondence, verification requests, and other credentialing-related

communications.

● Assist with payer enrollment and revalidation activities as assigned.

● Maintain confidentiality of provider and organizational information in accordance with

HIPAA and applicable regulatory requirements.

● Assist with preparation of credentialing materials for Medical Staff Committees,

Credentials Committees, and other internal reviews.

● Retrieve and organize documentation for audits, accreditation reviews, and regulatory

requirements.

● Follow established departmental policies, procedures, and credentialing standards.

● Provide professional and timely customer service to providers, practice managers,

hospital departments, and external organizations.

● Perform other administrative duties and special projects as assigned.

Pay: $23.00 - $25.00 per hour

Expected hours: 40.0 per week

Work Location: In person