Credentialing Specialist jobs in United States
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Innova Solutions · 5 hours ago

Credentialing Specialist

Innova Solutions is a staffing firm that provides strategic technology and business transformation solutions. They are seeking a Credentialing Specialist responsible for facilitating all aspects of provider credentialing and ensuring compliance with accrediting and regulatory agencies.

Artificial Intelligence (AI)Business Information SystemsCloud Data ServicesConsultingCyber SecurityInformation TechnologyInfrastructureIT ManagementMachine LearningSoftware
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H1B Sponsor Likelynote

Responsibilities

The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers as outlined in the corporate policy and procedures, or hospital bylaws
Utilize MDStaff credentialing software application to perform and monitor all credentialing/background checks, while maintaining accuracy and data integrity
Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing

Qualification

Healthcare Field ExperienceCredentialingPrimary Source VerificationRecords ManagementMDStaff SoftwareCompliance KnowledgeAttention to DetailTeam Collaboration

Required

Healthcare Field Experience
Required bachelor's degree
Responsible for all aspects of provider credentialing and re-credentialing
Ensures that physician licenses are renewed prior to expiration
Completes primary source verification for new and existing providers to ensure due diligence
Maintains assigned physician files, updating each item/action as processed
Utilizes database status/alert and other report functions, software tools and links to scanned documentation
Ensure that information is current and accurate
Maintains consistency in database entry to ensure accurate and consistent processes
Provide credentialing back-up for other members of the credentialing group

Benefits

Medical & pharmacy coverage
Dental/vision insurance
401(k)
Health saving account (HSA)
Flexible spending account (FSA)
Life Insurance
Pet Insurance
Short term and Long term Disability
Accident & Critical illness coverage
Pre-paid legal & ID theft protection
Sick time
Other types of paid leaves (as required by law)
Employee Assistance Program (EAP)

Company

Innova Solutions

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Innova Solutions is an IT company that specializes in data analytics, cloud computing, cyber security, and machine learning.

H1B Sponsorship

Innova Solutions 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
2025 (452)
2024 (399)
2023 (290)
2022 (78)
2021 (36)
2020 (98)

Funding

Current Stage
Late Stage
Total Funding
unknown
2012-01-01Private Equity

Leadership Team

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Raj Sardana
Founder, Chairman, & CEO
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A
Atul Gambhir
Chief Information & Product Officer
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Company data provided by crunchbase