Credentialing Specialist

Credentialing Specialist

Addison Group is partnering with a large healthcare organization seeking an experienced Credentialing Specialist to support their provider onboarding, data integrity, and compliance functions. This role offers a blended onsite/remote schedule once training is complete and is ideal for candidates with strong attention to detail, auditing experience, and a solid background in primary source verification.

The Credentialing Specialist is responsible for coordinating all credentialing and re-credentialing activities for providers. This includes reviewing applications, ensuring compliance with regulatory requirements, maintaining accurate provider data, and supporting operational workflows involving expirables and primary source verifications.

Key responsibilities include:

• Perform full-cycle credentialing and re-credentialing for providers, including application processing, verifications, and database updates.
• Conduct primary source verifications (licenses, certifications, DEA, board certifications, malpractice coverage, insurance, etc.).
• Maintain data integrity for all expirables by auditing records, running reports, and ensuring timely updates.
• Support a major data cleanup project and help transition information into new or updated systems as needed.
• Use Excel and database systems (similar to Microsoft Access) to track expiration dates, run reports, and analyze data.
• Communicate with providers to obtain missing documentation or clarify credentialing status.
• Assist with policy and procedure adherence related to credentialing and delegation.
• Serve as a resource to less experienced staff as needed.
• Maintain compliance with organizational, state, and accreditation standards.
• Uphold confidentiality, professionalism, and service excellence.

Requirements include:

• 2+ years of recent credentialing experience required , including primary source verifications.
• Experience managing expirables and maintaining database accuracy.
• Proficient in Microsoft Excel; familiarity with database tools such as Microsoft Access preferred.
• Ability to explain red flag findings and describe daily credentialing productivity (e.g., provider files closed per day).
• Strong analytical skills and high attention to detail.
• Strong communication and organizational abilities.
• High school diploma or GED required.

Additional details include:

• Schedule: Monday–Friday, 8:00am–5:00pm
• Work Arrangement:
  • First 3–4 weeks: fully onsite training
  • After training: alternating schedule — 1 week onsite / 1 week remote
• Assignment Type: Contract (6 months)
• Environment: Business office, professional and team-focused
• Dress Code: Business casual
• Start Date: ASAP - Cannot be working

Perks include:

• Hybrid schedule after training
• Opportunity to support a well-structured credentialing department
• Professional growth and cross-functional exposure
• Stable full-time hours

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Reasonable accommodation is available for qualified individuals with disabilities, upon request.