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Credentialing Specialist II

Sentara
$40,818 - $55,318 a year
Norfolk, Virginia
Full time
3 weeks ago
Department and Name: Central Credentialing- Consolidated Hospital Support
Physical Location: Norfolk, VA
Employment Status: Regular
Shift: First (Days)
Posted Date: June 4, 2025

Sentara Health is hiring a Payor Enrollment Credentialing Specialist II 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.

Under the supervision of a Credentialing Supervisor/Manager, the Credentialing Specialist II is responsible for specific aspects of Credentialing and Re-credentialing processing for a managed care organization, adhering to the National Committee for Quality Assurance, State and Federal regulations. They review, investigate, and process primary source verifications for facility, ancillary, medical and behavioral providers in a timely, efficient manner.

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 2 years 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).

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