Iowa Credentialing Specialist

A company is looking for a Credentialing Specialist to manage provider credentialing in an urgent care / primary care setting.

Key Responsibilities

Enroll providers with necessary payors and manage contracting and re-credentialing processes

Collect and confirm provider information for reporting to accrediting and licensing agencies

Coordinate with billing department to address credentialing issues and maintain provider certification systems

Required Qualifications

Associate Degree preferred

Certified Professional Biller or Certified Professional Coder preferred

2+ years' experience in a medical office with claims, billing, insurance, and medical records

2 years of credentialing experience required

Knowledge of healthcare insurance rules and RHC credentialing guidelines