Credentialing Specialist
Listed on 2026-10-03
-
Healthcare
Healthcare Administration, Medical Billing and Coding, Medical Office -
Administrative/Clerical
Healthcare Administration
Job Details:
Job Location:
Cumberland FMC Admin
- Russell Springs, KY 42642, Position Type:
Full Time, Job Category:
Admin
- Clerical, Credentialing Specialist
Cumberland Family Medical Center (CFMC) operates a Federally Qualified Health Center (FQHC) offering a wide range of health and social services at multiple sites throughout Kentucky. We seek employees who support our mission and who actively contribute to our service-driven environment by enhancing patient experience and improving productivity. CFMC offers compassionate care, uncompromising service and clinical excellence. We offer a collaborative environment with excellent benefits, wage/salary commensurate with experience and relevant work experience.
Duties and Responsibilities:- Enrolls physicians with contracted payers and maintains current and organized records of all credentialing information to include completing applications, obtaining signatures, providing necessary documents to complete the credentialing process.
- Maintains provide listings with Medicare, Medicaid, and other carriers.
- Performs initial contact with contracted payers to initiate credentialing process and enable a relationship with the provider and network representatives.
- Maintain and update accurate reports regarding provider participation.
- Responsible for setting up and maintaining provider and group records.
- Maintains credential database in accordance with time standards.
- Reviews credentialing applications for completeness and accuracy of documentation according to specified standards for submission to insurance carriers for credentialing.
- Communicates and tracks applications with payers to ensure timely and accurate credentialing of providers.
- Review records for completeness, accuracy and compliance with regulations.
- Maintain and update accurate reports regarding provider participation.
- Other duties as assigned.
Education/
Experience:
- High school diploma/GED.
- A minimum of 2 years’ related experience in credentialing or equivalent combination of education and experience.
- Must have good communication skills.
- Proficient in MS Outlook; MS Excel and MS Word.
Full-time position, 5 days per week, 100% office-based, in person work required.
Work schedules are set at the discretion of CFMC and may be adjusted at any time based on the operational needs of the organization.
Compensation:Negotiable based on experience
Benefits:Health, Vision, Dental, Life, STD, LTD, 401K, PTO, and Holidays
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).