Credentialing Specialist I

Sentara Health is hiring a Payor Enrollment Credentialing Specialist I for the Provider Credentialing Department.

This is a Full-time, 40 hours per week Day shift position Mon-Fri between the hours of 7:00am-5:00pm.

Responsible for ensuring that healthcare professionals and providers meet the necessary qualifications and comply with all regulatory and accreditation standards. This role involves gathering and verifying a variety of documents and information, coordinating with healthcare providers, and maintaining accurate and up-to-date credentialing files.

Education

• High School Diploma

Certification/Licensure

• CPCS – Certified Provider Credentialing Specialist (Preferred)

Experience

• Requires thorough knowledge of managed care provider credentialing/re-credentialing principles, methods, regulations, and procedures normally acquired through a minimum of 1 year of directly related experience. Acceptable areas demonstrating experience would be direct work experience with organizations such as a CVO, MCO, HMO or Hospital Based Credentialing (MSO).