Job Details

Credentialing Specialist - REMOTE

Status: Full-time, Exempt

Schedule: Mon-Fri

Location: (Remote)

Join us at Little Spurs! (Overview):

Little Spurs Pediatric Urgent Care and Little Spurs Autism Centers is looking to add a Credentialing Specialist to our growing team! The Credentialing Specialist will be responsible for maintaining the credentialing database, all licensures, insurance, board certifications for Little Spurs healthcare providers. The Credentialing Specialist will work under the direction of the Central Business Office Manager to ensure effective operations and compliance with government/state regulations and UCA requirements.

What You Need (Qualifications):

• High School diploma or equivalent
• Minimum 3 years provider credentialing experience

• Ability to meet and confer in a professional manner with Physicians and Physician extenders
• Bachelor's degree in health care administration, business management, or related field (preferred)
• Knowledge of credentialing software and ability to navigate payor portals
• Provider enrollment/reenrollment (CAQH, PECOS, PEMS, TMHP, etc.)
• Intermediate level of proficiency with Excel, Word, Outlook and Adobe

• Delegated credentialing experience (preferred)
• Knowledge of federal and state regulatory requirements and accreditation standards (i.e., Joint Commission, NCQA, UCA, and CMS) (preferred)
• CPCS or CPMSM (preferred)

• Medical, Dental & Vision Benefits available employee, spouse, and dependents

• Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children)
• 401k with 4% company match on 5% employee contribution
• 80 hours of PTO accumulated through the year; available for rollover
• More PTO accrued after three and five years of service
• No cost for in-house medical care for employee and dependent children

• Employee recognition and appreciation programs