Credentialing Specialist

TEKsystems
$25.00 - $33.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, New Jersey, Egg Harbor City
Jun 14, 2025
Description Manage the end-to-end credentialing process for behavioral health clinicians, including initial credentialing, re-credentialing, and ongoing monitoring. Develop and maintain a comprehensive Standard Operating Procedure (SOP) to guide current and future credentialing staff. Ensure timely and accurate data entry into the credentialing information system, maintaining up-to-date and complete provider files. Communicate with clinicians, licensing boards, insurance companies, and other stakeholders to obtain and verify credentialing information. Monitor expiration dates for licenses, certifications, and other credentials, ensuring timely renewals. Maintain strict confidentiality of all credentialing files and sensitive information. Collaborate with HR, compliance, and clinical leadership to ensure alignment with organizational policies and regulatory requirements. Participate in audits and prepare documentation as needed for internal and external reviews. Identify and implement process improvements to enhance the efficiency and accuracy of credentialing workflows. Provide training and support to new team members or temporary staff involved in credentialing activities. Stay current with industry standards, payer requirements, and state/federal regulations related to credentialing. Skills provider credentialing, medical terminology, organizational and analytical skills, Behavioral Health, credentialing, oracle, provider enrollment Top Skills Details provider credentialing,medical terminology,organizational and analytical skills,Behavioral Health,credentialing Additional Skills & Qualifications Minimum of 2-3 years of experience in behavioral health credentialing or a related healthcare credentialing role. Familiarity with credentialing software and systems (e.g., CAQH, NPPES, PECOS). Strong understanding of regulatory and accreditation standards (e.g., NCQA, Joint Commission). Excellent written and verbal communication skills. High attention to detail and strong organizational skills. Ability to work independently and manage multiple priorities in a fast-paced environment. Proficiency in Microsoft Office Suite (Word, Excel, Outlook). Experience Level Intermediate Level Pay and Benefits The pay range for this position is $25.00 - $33.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Egg Harbor City,NJ. Application Deadline This position is anticipated to close on Jun 27, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.