Credentialing Specialist

St. Louis, MO | Chesterfield, MO | Hybrid A5 Healthcare (Anders Affiliate) one of one of the fastest-growing Credentialing Verification Organizations in the country is seeking a Credentialing Specialist who is motivated to learn, excited to collaborate and passionate about delivering outstanding results. This individual will have a direct impact on our firm’s mission of serving as a catalyst for those striving to achieve their highest potential. The Credentialing Specialist for the Credentials Verification Organization (CVO) at A5 Services is responsible for managing and verifying credentialing applications for initial appointments and reappointments across multiple facilities. This role involves thorough data analysis, primary source verification, and the monitoring of expiring provider documents to ensure compliance with regulatory and accreditation standards. The Specialist plays a key part in supporting credentialing workflows, maintaining turnaround times, and communicating effectively with internal staff, providers, and external organizations. This role requires discretion, strong documentation and analytical skills, and the ability to handle confidential and complex credentialing tasks while exemplifying a high standard of professionalism and customer service. What You’ll Do: Credentialing Operations Perform comprehensive application management, including requesting, receiving, processing, and verifying initial and reappointment applications. Conduct preliminary analysis of application data and verification information to identify any red flags or adverse findings. Monitor expiring provider data such as professional licenses, DEA registrations, board certifications, and malpractice insurance. Communicate timely updates to providers and member organizations regarding application status and outstanding requirements. Prepare credentialing files accurately and submit them for facility audits and approvals in accordance with turnaround standards. Maintain working knowledge of relevant accreditation and regulatory standards (TJC, AAAHC, DNV, NCQA, and CMS). Assist with continuous improvement of credentialing workflows, including process alignment and development of forms. Participate in special projects and team initiatives as assigned. General Responsibilities Maintain credentialing documentation and records with accuracy and confidentiality. Follow organizational policies and escal... (Note: The full formatted description continues with the remainder of the job content, including the removal of non‑job‑description promotional paragraphs, conversion of headings to , and replacement of tags with as appropriate.) #J-18808-Ljbffr Anders Cannabis Group