Full-Time Credentialing Specialist
Privia Health is hiring a remote Full-Time Credentialing Specialist. The career level for this job opening is Experienced and is accepting Remote, USA based applicants remotely. Read complete job description before applying.
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Privia Health
Job Title
Credentialing Specialist
Posted
Career Level
Full-Time
Career Level
Experienced
Locations Accepted
Remote, USA
Salary
YEAR $49500 - $55000
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Job Details
The Credentialing Specialist is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all providers in Privia’s high-performance medical group.
Primary Job Duties:
- Follows documented process to ensure timely processing of Primary Source Verification completion for initial and recredentialing.
- Follows guidelines in alignment with all NCQA, CMS, and state requirements as related to the provider credentialing.
- Works with both internal and external stakeholders to resolve complex provider credentialing issues.
- Supports special projects requiring knowledge of delegated and non-delegated health plan requirements
- Maintains up-to-date data (expireables) for each provider in credentialing databases and CAQH; ensures timely renewal of licenses, certifications, COI’s etc.
- Maintains confidentiality of provider information
- Assist in managing the flow of information between internal stakeholders
- Coordinate and prepare reports under the direction and supervision of the manager
- Record and track credentialing statistics
- Other duties as assigned
Requirements:
- 1+ years experience in managed care credentialing Primary Source Verification
- Demonstrated skills in problem solving and analysis and resolution
- Must be able to function independently, possess demonstrated flexibility in multiple project management
- Must comply with HIPAA rules and regulations
- An individual with the ability to communicate appropriately and effectively with practitioners, internal stakeholders, and providers; including sensitive and confidential information
- High level of attention to detail with exceptional organizational skills
- Exercise independent judgment in interpreting guidelines of applicable regulatory bodies.
FAQs
What is the last date for applying to the job?
The deadline to apply for Full-Time Credentialing Specialist at Privia Health is
16th of October 2025
. We consider jobs older than one month to have expired.
Which countries are accepted for this remote job?
This job accepts [
Remote, USA
] applicants. .
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