kyocare
Credentialing Specialist
At a Glance
- Location
- Austin, Texas, United States
- Compensation
- milies we support. Pay Range: $27.88 - $31.25 Candidates must reside in one
- Posted
- 2026-07-22T15:54:35-04:00
Key Requirements
Required Skills
Domain Knowledge
- Medical
- Regulatory
Benefits & Perks
clinical staff with health insurance plans, certification boards and other a
Requirements
Database management skills including querying, reporting, and document generation
Working knowledge of Medical Terminology
Demonstrated problem-solving skills and initiative to analyze and disseminate relevant credentialing data across internal company departments
Preferred: Experience with provider credential databases CAQH, NPPES
Preferred: Experience with HIPAA and compliance-sensitive environments
Responsibilities
Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies
Ensuring compliance with various state, federal and payer requirements
Responsible for pre-application intake, monitoring, application submission and follow up
Maintaining an efficient and compliant on-boarding process
Inputing/Updating provider credential databases CAQH and NPPES
Ongoing monitoring of clinical staff’s credentials to ensure licenses and certifications are current and active