Job Description

Job Overview – Healthcare Credentialing Specialist (Temp to Perm):

Compensation: $30 – $34/hour

Location: Philadelphia, PA

Schedule: Full-Time or Part-Time (Monday to Friday)

Atlantic Group is hiring a Healthcare Credentialing Specialist in Philadelphia, PA, to support our client with the full scope of credentialing, payer enrollment, and privileging processes for healthcare providers. In this temp-to-perm role, you will maintain provider files, update CAQH attestations, and ensure compliance with NCQA, HRSA, FTCA, and federal and state regulations. This position is ideal for detail-oriented professionals with credentialing experience who thrive in fast-paced healthcare environments and excel in accuracy, organization, and compliance management.

Responsibilities as the Healthcare Credentialing Specialist:

• Credentialing & Enrollment: Oversee all credentialing, re-credentialing, payer enrollment, and privileging processes to ensure timely and accurate completion.
• Documentation Management: Maintain provider files, track licenses and certifications, and uphold compliance with credentialing documentation standards.
• Provider Onboarding: Support new provider onboarding by verifying credentials, completing payer applications, and preparing required documentation.
• Regulatory Compliance: Ensure adherence to NCQA, NPDB, HRSA, FTCA, and federal/state regulations while conducting exclusion checks.
• Database & Reporting: Update CAQH attestations, manage credentialing system updates, and prepare reports for leadership and committee review.

Qualifications for the Healthcare Credentialing Specialist:

• Education: Associate’s or Bachelor’s degree in Business, Healthcare Administration, Health Information Management, or a related field required.
• Experience: 2-4 years of credentialing or medical staff services experience in healthcare, with preference for backgrounds in community health centers or behavioral health settings.
• Technical Skills: Proficient in Microsoft Office Suite and credentialing database applications, with experience updating and maintaining CAQH systems preferred.
• Certification: NAMSS certification (CPCS or CPMSM) strongly preferred.
• Skills & Attributes: Strong communication skills, detail-oriented, organized, and able to multitask while working independently or within a team.
• Industry Knowledge: Demonstrated knowledge of credentialing standards, NCQA guidelines, HRSA, FTCA, NPDB, and federal and state licensing regulations.

Application Notice: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, Atlantic Group will keep your resume on file for future opportunities and may contact you for further discussion.

ID #46330

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