Credentialing Specialist at Grand Peaks

, Idaho, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Jan, 26

Salary

0.0

Posted On

09 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Privileging, Re-Credentialing, Provider Enrollment, Healthcare Administration, Organizational Skills, Attention to Detail, Communication Skills, Follow-Up Skills, Credentialing Software, EMR, Licenses, Certifications, Regulatory Compliance, Database Management, Onboarding

Industry

Real Estate

Description

Description Schedule: Monday through Friday, 8:00 a.m. to 5:00 p.m. Status: Full-time Join Our Growing Team at Grand Peaks! Grand Peaks is growing and expanding our services to better serve our community. We are seeking a dedicated Credentialing Specialist to join our administrative team in St. Anthony. At Grand Peaks, we take pride in providing exceptional, compassionate care and that starts with having an outstanding team behind the scenes. Position Summary The Credentialing Specialist is responsible for managing all aspects of credentialing, privileging and re-credentialing for providers and clinical staff. This position plays a key role in ensuring that all credentials and certifications are accurate, up to date, and compliant with federal, state, and payer requirements. Responsibilities Coordinate and complete credentialing, privileging and re-credentialing applications for all providers and clinical staff Verify and maintain current provider credentials, licenses, and certifications Track renewals and ensure ongoing compliance with regulatory and payer standards Communicate with providers, clinical staff, insurance payers, local hospital privileging offices and regulatory agencies regarding credentialing status Maintain and update credentialing databases and documentation Update EMR with license expiration dates Clinic credentialing / payer & clearinghouse enrollment Utilize credentialing software to manage and track credentialing processes Assist with all clinical staff onboarding and support the HR and administrative teams as needed Requirements Qualifications High school diploma or equivalent required; associate’s or bachelor’s degree preferred Previous experience in credentialing, provider privileging, payer enrollment, billing or healthcare administration preferred Experience using credentialing software preferred Knowledge of credentialing standards preferred Knowledge of insurance payer requirements Strong organizational skills with exceptional attention to detail Excellent communication and follow-up skills Proficiency with integrated computer software and cloud based systems Why You’ll Love Working at Grand Peaks Grand Peaks is a growing organization that values teamwork, quality, and community. We offer excellent benefits for full-time employees, including competitive pay, health insurance, paid time off, and retirement options. Our team enjoys a supportive and collaborative work environment, along with the opportunity to make a real difference in the lives of patients and providers. Please submit a resume with references.

Responsibilities

The Credentialing Specialist is responsible for managing all aspects of credentialing, privileging, and re-credentialing for providers and clinical staff. This includes verifying and maintaining current provider credentials and ensuring compliance with regulatory and payer standards.