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Credentialing Specialist

Jobot

Oklahoma City, OK

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JOB DETAILS
SALARY
$22–$30
JOB TYPE
Full-time
LOCATION
Oklahoma City, OK
POSTED
30+ days ago
Medical, dental, vision, 401k

This Jobot Job is hosted by: Brittany Packard
Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume.
Salary: $22 - $30 per hour

A bit about us:

Our client is a specialty healthcare provider that treats chronic or difficult wounds, often for elderly or medically complex patients. Their clinicians provide advanced treatments and frequently travel to patients’ homes or care facilities to deliver wound care services.

Why join us?
  • medical
  • dental
  • vision
  • 401k
  • PTO
  • paid holidays


Job Details

Job Title: Credentialing Specialist

Location: Oklahoma City, OK – Onsite

Position Type: Full-Time

Job Summary:

We are seeking a detail-oriented and highly organized Credentialing Specialist to join our healthcare team. This role is responsible for ensuring that all healthcare providers meet credentialing, licensure, and regulatory requirements. The ideal candidate will have experience with provider enrollment, compliance standards, and maintaining accurate records while communicating effectively with internal teams and external providers.

Key Responsibilities:

Manage the full credentialing and re-credentialing process for healthcare providers, including physicians, nurses, and allied health professionals.

Verify provider licensure, certifications, education, work history, and professional references.

Maintain and update provider records in credentialing systems and databases (e.g., CAQH, Modio, Verity, or other software).

Ensure compliance with federal, state, and organizational regulations, including HIPAA, NCQA, and Joint Commission standards.

Coordinate with internal departments and external organizations to obtain and track necessary documentation.

Monitor provider status and license expirations to ensure timely renewals.

Prepare and submit credentialing applications for insurance panels, Medicare, Medicaid, and other payers.

Assist with audits and reporting related to provider credentialing and compliance.

Communicate clearly and professionally with providers regarding credentialing requirements and updates.

Recommend and implement process improvements to streamline credentialing workflows and enhance data accuracy.

Qualifications:

High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.

Minimum 2 years of experience in provider credentialing, healthcare administration, or related field.

Knowledge of credentialing standards, licensing requirements, and regulatory compliance (NCQA, Joint Commission).

Proficiency in credentialing software and Microsoft Office Suite.

Excellent attention to detail, organizational, and time management skills.

Strong written and verbal communication skills.

Ability to manage multiple priorities in a fast-paced environment.

Preferred:

Certified Provider Credentialing Specialist (CPCS) designation is a plus.

Experience with CAQH ProView, Modio, Verity, or similar credentialing platforms.

Previous experience in a hospital, clinic, or large healthcare organization.

Why Join Us:

Competitive salary and benefits package.

Opportunity for professional development and continuing education.

Collaborative and supportive work environment.

Make a direct impact on patient care quality and provider compliance.

Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

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About the Company

J

Jobot

Jobot is on a mission to connect good people with good jobs. By combining AI-powered technology with the expertise of Jobot Pros, our experienced recruiters, we help you find career opportunities that align with your goals and values.

Founded in 2018 and employee-owned since 2024, Jobot is committed to fostering a culture of kindness, respect, innovation, and connection.  As an industry leader, we’ve been recognized as a top workplace by Forbes, Fortune, USA Today, and Staffing Industry Analysts (SIA).

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COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2018
WEBSITE
http://www.jobot.com