Medical Credentialing Specialist

Credentialing Specialist

Addison Group is hiring for our client, a growing healthcare organization, seeking a Credentialing Specialist to support provider onboarding and credentialing for newly acquired practices. This position plays a key role in ensuring providers are credentialed, enrolled, and ready to practice while maintaining compliance with state and payer requirements.

This is an excellent opportunity for a credentialing professional looking to join a stable, growing organization with long-term career potential.

Key Responsibilities

• Build and maintain complete provider credentialing files
• Coordinate credentialing activities for newly onboarded practices
• Process provider enrollment applications through payer portals
• Submit and monitor licensure, credentialing, and hospital privilege applications
• Track credential renewals and ensure providers remain compliant
• Communicate with physicians and internal departments regarding outstanding documentation and application status
• Maintain provider profiles within credentialing software
• Assist with provider onboarding, offboarding, and practice transitions
• Support hospital appointments, facility credentialing, and provider updates
• Maintain accurate documentation and credentialing records
• Participate in special projects and process improvement initiatives

Required Qualifications

• 1–2+ years of credentialing or provider enrollment experience
• Experience building and maintaining credentialing files
• Knowledge of healthcare credentialing processes and payer enrollment
• Strong computer skills and ability to learn new systems
• Excellent organizational and time management skills
• Strong written and verbal communication skills
• Ability to work independently and manage multiple priorities

Preferred Qualifications

• Hospital credentialing experience
• Experience working with credentialing software platforms
• Knowledge of provider licensure, hospital privileges, and payer enrollment processes

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. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.