What are the responsibilities and job description for the Credentialing Specialist position at TrustCare?
Your Role
As a Credentialing Specialist, you’ll play a vital behind-the-scenes role in making sure our medical providers are credentialed accurately and in a timely manner. You’ll manage critical documentation, support compliance with regulatory requirements, and ensure that our providers are ready to deliver care without interruption. If you thrive in a structured, detail-oriented environment and enjoy supporting healthcare teams from the administrative side, this role may be a great fit.
What You’ll Do
- Complete initial and recredentialing applications for medical providers, ensuring accuracy and timely submission
- Track expiration dates for licenses, DEA certificates, malpractice insurance, and certifications, initiating renewals as needed
- Maintain digital and physical credentialing files for each provider, ensuring documentation is current and complete
- Manage provider data in credentialing systems and portals (e.g., CAQH, PECOS)
- Respond to external requests for provider verifications and privileges
- Support the TrustCare Leadership Team with credentialing reports, audits, and special projects
- Assist with day-to-day department tasks, contributing to a smooth and efficient workflow
Position Details & Work Environment
- Type of Role: Full-Time, Hourly, Non-Exempt
- Schedule: Monday–Friday, 8:00 AM- 4:30 PM
- Work Environment: Office-based with standard equipment use; primarily sedentary with occasional clinic visits
Other Duties
This job description is intended to highlight the core responsibilities of the role, but we’re a team—and sometimes that means stepping outside the usual to pitch in where needed. Duties may shift as our needs evolve.
Qualifications:What We’re Looking For
- A highly organized and proactive individual who thrives on precision
- Someone with excellent communication and follow-up skills
- A team player who can work independently and juggle multiple priorities
- A detail-focused professional who understands the importance of compliance in healthcare
Qualifications to Shine
- 2 years of credentialing experience in a healthcare setting required
- Familiarity with CAQH, PECOS, licensure verification, and credentialing software
- High school diploma or equivalent required; Associate’s degree preferred
- CPCS (Certified Provider Credentialing Specialist) certification is a plus
- Strong knowledge of medical terminology and healthcare credentialing requirements
- Proficient in Microsoft Office Suite and comfortable working with digital records