Credentialing Support Specialist

Description

Job Overview:

The Credentialing Support Specialist is responsible for manually verifying professional licenses certifications and credentials across various state boards licensing bodies and public or designated verification portals.

This role supports clients that require accurate timely and documented credential verification for healthcare professionals enterprise users and other licensed individuals. The Specialist will review provided information perform license lookups capture supporting documentation such as screenshots and update the clients platform or workflow system accordingly.

This position requires strong attention to detail accuracy confidentiality and the ability to handle sensitive personal information in a secure and compliant manner.

Responsibilities:

• Perform manual license and certification lookups through state boards professional licensing bodies and other approved verification sources.
• Verify information such as full name date of birth license number certification status expiration dates and other relevant credential details.
• Review assigned tickets tasks or lookup requests and process them according to client-defined workflows.
• Capture screenshots or other approved documentation as evidence of license or certification verification.
• Upload verification results and supporting documentation into the clients platform or system.
• Ensure all information entered into the system is accurate complete and aligned with client requirements.
• Identify and escalate incomplete inconsistent expired unverifiable or questionable credential records.
• Follow strict confidentiality and data security protocols when handling PII and sensitive information.
• Maintain productivity and turnaround time expectations based on assigned volume and client SLAs.
• Communicate with internal supervisors or client points of contact for clarifications exceptions or process updates.
• Support process improvements by identifying recurring issues workflow gaps or verification challenges.

Requirements

Required Qualifications:

• Previous experience in credentialing license verification data verification healthcare administration back-office support or a similar role.
• Strong attention to detail and ability to accurately validate information across multiple sources.
• Experience using online portals databases or public records for research and verification.
• Ability to follow detailed workflows standard operating procedures and client-specific instructions.
• Strong written English communication skills.
• Comfortable handling sensitive personal information including PII.
• Ability to work independently with minimal supervision while maintaining accuracy and productivity.
• Basic computer skills including data entry screenshot capture file upload and system navigation.

Preferred Qualifications:

• Experience in healthcare credentialing or professional license verification.
• Familiarity with U.S. state licensing boards healthcare certifications or regulatory verification processes.
• Experience working with ticketing systems CRM tools workflow platforms or credentialing platforms.
• Prior BPO healthcare back-office compliance or administrative support experience.
• Familiarity with HIPAA ISO data privacy or information security practices is an advantage.

Educational Requirements & Certifications:

• High school diploma or equivalent required.
• Associates or Bachelors degree in Business Administration Healthcare Administration Information
• Management or related field preferred.
• Data privacy HIPAA compliance or healthcare administration training is an advantage but not required.

Benefits

• HMO with 1 free dependent upon hire
• Life Insurance
• 10% Night Differential
• 20 PTO credits annually
• VL and SL cash conversion
• Annual Performance-Based Merit Increases and Employee Recognition
• Great Company Culture
• Career Growth and Learning

Required Experience:

IC

Employment Type : Full Time
Experience: years
Vacancy: 1