Credentialing Specialist

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    "url": "https://careers-360care.icims.com/jobs/4766/credentialing-specialist/job",
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    "title": "Credentialing Specialist",
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    "datePosted": "2026-06-05T04:00:00.000Z",
    "description": "<h2>Overview</h2>\n<p>The person in this role is responsible for performing background checks, organizing credentialing documentation, gathering information in relation to on-boarding and working closely with healthcare providers and facilities.</p>\n<h2>Responsibilities</h2>\n<ul>\n <li>Perform background checks and organizing of credentialing documents for new and existing healthcare providers.</li>\n <li>Gather provider credentials, drug screens and any other items related to the onboarding process.</li>\n <li>Complete insurance enrollment for providers in multiple specialties. </li>\n <li>Provide credentialing information to nursing facilities.</li>\n <li>Track expiring credentialing documents, obtain from provider and distribute as needed.</li>\n <li>Maintain One App program to track applications and expirations.</li>\n <li>Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.</li>\n <li>Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.</li>\n <li>Reacts positively to change and performs other duties as assigned.</li>\n</ul>\n<h2>Qualifications</h2>\n<ul>\n <li>High school graduate required.</li>\n <li>1+ years of office administration experience in a medical office.</li>\n <li>2+ years of credentialing experience; Medicare and Medicaid a plus. </li>\n <li>Requires flexibility to move within different departments, workflows and tasks as needed.</li>\n <li>Strong knowledge of and skill in the use of a PC and other office equipment (copier, scanner, fax, etc.).</li>\n <li>Strong Windows, Excel, Word and internet applications knowledge – SharePoint experience is a plus.</li>\n <li>One App software preferable but not required.</li>\n <li>Experience with CAQH documentation and functionality is a plus.</li>\n <li>Ideal candidate must be highly self-motivated with the ability to implement and manage cross-functional activities.</li>\n <li>Strong organization and excellent follow-up skills.</li>\n <li>Ability to interact effectively with a variety of people including physicians and facilities.</li>\n <li>Provide high level of customer service for both internal and external candidates.</li>\n <li>Strong written and verbal communication skills.</li>\n</ul>\n<p> </p>\n<p><strong> </strong></p>\n<p>We will only employ those who are legally authorized to work in the United States. Any offer of employment is conditional upon the successful completion of a background investigation and drug screen.</p>\n<p> </p>\n<p>We are an equal opportunity employer.</p>",
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      "name": "360care",
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