Job Description

Credentialing Specialist – Bethesda, MD
Compensation: Base Salary: $52,0000 - $56,000 plus 10% Annual Bonus

Our client, a leading multi-state orthopedic group, is seeking a Credentialing Specialist to support provider credentialing and recredentialing. Reporting to the Credentialing Manager, this role ensures compliance with federal, state, and organizational requirements. On-site presence is required during the first 90 days before transitioning to a hybrid or remote schedule.

Key Responsibilities

• Manage credentialing and recredentialing applications, ensuring accuracy and compliance.
• Conduct primary source verification and resolve discrepancies.
• Maintain accurate provider files and credentialing databases.
• Submit and update provider rosters with health plans.
• Prepare verifications and support high-volume processing.
• Work in EHR systems to resolve credentialing-related account issues.

Qualifications

• High School Diploma or GED required.
• 5+ years credentialing experience across all payers.
• CPCS certification (or actively pursuing).
• Proficiency with CAQH, Pecos, EMR/EHR systems, and credentialing software (Modio, MDStaff, Intellisoft).
• Strong Microsoft Office skills with ability to analyze and interpret data.

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