Facebook · 14 hours ago
Credentialing Specialist
Columbia, South Carolina
Full-time
Hybrid
Entry Level
2+ years expBlueCross BlueShield of South Carolina is currently hiring for a Credentialing Specialist. In this role, you will be responsible for the completion of the initial credentialing and re-credentialing process of providers, maintaining accurate databases, and ensuring compliance with standards.
Computer Software
Responsibilities
Performs initial and re-credentialing of providers/practitioners including documenting credentialing information according to established policies/procedures
Completes primary verification of the following: state licensure, state/federal controlled substance certification, educational and/or residency background, malpractice coverage/history, hospital privileges, and previous sanctions
Maintains credentialing database and HCS data files with appropriate network indicators and effective dates
Ensures provider databases are kept current and accurate
Retrieves and interprets credentialing database information for use in various reports
Communicates (both verbally and in written form) with providers, provider relations, marketing, other credentialing departments, and various management staff relating to any urgent matters
Registers all participating providers and assists provider network personnel in maintaining and/or updating directory information
Responds to calls/correspondence from physician/provider/office staff regarding participating networks, directories, and provider credentialing
Ensures communication of provider profiling and performance information with other provider services areas
Prepares correspondence and credentialing reports as requested by management
Assembles necessary information on providers due initial credentialing or re-credentialing for presentation to credentialing committee
Attends meetings of credentialing committee as scheduled
Assists in research, redevelopment, and implementation of any new programs/projects
Provides administrative support to delegated credentialing activities
Qualification
Required
Associate degree OR two years of related work experience
Two years' experience in the healthcare OR insurance industry
Good judgment skills
Effective organizational and customer service skills
Demonstrated verbal and written communications skills
Demonstrated proficiency in spelling, punctuation, and grammar skills
Ability to handle confidential OR sensitive information with discretion
Knowledge OR the ability to acquire of organization/committee standards, delegation agreements, etc
Microsoft Office
Preferred
Prior credentialing experience
Benefits
401(k) retirement savings plan with company match
Subsidized health plans and free vision coverage
Life insurance
Paid annual leave – the longer you work here, the more you earn
Nine paid holidays
On-site cafeterias and fitness centers in major locations
Wellness programs and healthy lifestyle premium discount
Tuition assistance
Service recognition
Incentive Plan
Merit Plan
Continuing education funds for additional certifications and certification renewal
Company
The Facebook company is now Meta. Meta builds technologies that help people connect, find communities, and grow businesses.
10001+ employees
H1B Sponsorship
Facebook has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (942)
2021 (5811)
2020 (4476)
Funding
Current Stage
Late StageLeadership Team
Arunava Chatterjee
Executive Director of Ghost Black Operations & CEO & CTO
Shubhra Gupta
CEO
Recent News
Business Live
2025-11-03
2025-11-01
Company data provided by crunchbase