Credentialing Specialist

Overview BerryDunn is seeking a Credentialing Specialist to join our Healthcare Compliance and Credentialing Practice Area. Under the supervision of the Credentialing leadership team, the Credentialing Specialist will be responsible for all aspects of credentialing/re-credentialing providers, including, but not limited to, verification of application/documents, submission of requests for consideration, initial and revalidation applications, approval, denial, termination letters, primary source verification activities, enrollment, re-enrollment, CAQH maintenance and accurately loading provider information into the Credentialing database. The Credentialing Specialist works closely with the Credentialing leadership and broader Credentialing Team to service clients’ needs and meet contractual obligations. This position is planned to be remote. Travel Expectations: This role requires minimal travel, less than 10% per year. You Will Complete credentialing and/or re-credentialing applications for physicians, ancillary providers and facilities or groups with third-party payers and governmental programs (Medicare and Medicaid) as requested by the client in an accurate and timely manner Perform Primary Source Verification (PSV) services including but not limited to verification of licenses, malpractice and work history’ perform PSV file audits as requested. Complete, update and maintain Council for Affordable Quality Healthcare (“CAQH”) profiles for providers Maintain a Credentialing d