Provider Credentialing Specialist

Full Time: On-Site

Overview:

We are seeking a detail-oriented and proactive Provider Credentialing Specialist to join our corporate team. This role is essential in ensuring that all healthcare providers are properly credentialed, re-credentialed, and privileged to deliver patient care across our network. The ideal candidate will be highly organized, familiar with credentialing standards, and capable of managing multiple priorities in a fast-paced environment.

Key Responsibilities:

• Maintain accurate and current credentialing data for all providers.

• Complete and track payer enrollment applications; follow up to ensure timely processing.

• Manage documentation including state licenses, DEA certificates, malpractice insurance, and other required credentials.

• Stay up to date on health plan and regulatory credentialing requirements.

• Input and update provider information in credentialing databases and online systems.

• Monitor and track expiration dates for licenses, certifications, and other credentials.

• Ensure provider practice locations are accurately reflected with all payers and agencies.

• Conduct audits of provider directories to ensure accuracy.

• Provide credentialing and privileging verifications as needed.

• Maintain strict confidentiality of provider information.

Qualifications:

• Prior experience in health plan and hospital credentialing is required.

• Strong understanding of credentialing processes and regulatory requirements.

• Excellent organizational and communication skills.

• Proficiency in credentialing software and Microsoft Office Suite.

• Ability to manage sensitive information with discretion.

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance