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1 result for Insurance Authorization Specialist in Carmel, IN
- Indianapolis, IN
- remote
- Temporary / Contract
- 22 - 24 USD / Hourly
- <p>We are looking for a Credentialing Specialist to support a healthcare organization through a Contract assignment. This position focuses on reviewing documentation, coordinating verification activities, and helping maintain accurate provider or business records in a regulated environment. The role suits someone who can manage detailed information, communicate effectively with internal and external contacts, and apply strong analytical judgment in day-to-day work.</p><p><br></p><p>Responsibilities:</p><ul><li>Perform primary source verification (PSV) of healthcare provider credentials, including medical licenses, education, board certifications, work history, and other required qualifications.</li><li>Contact primary sources, such as state licensing boards, educational institutions, and certification organizations, to validate provider credentials and qualifications.</li><li>Verify provider information in accordance with The Joint Commission (TJC) and/or NCQA standards, organizational policies, and regulatory requirements.</li><li>Review credentialing and recredentialing applications for completeness, accuracy, and required supporting documentation.</li><li>Track expiring licenses, certifications, and other credentials to ensure providers remain compliant with established requirements.</li><li>Maintain accurate provider credentialing files, databases, and documentation to support audits and accreditation reviews.</li><li>Follow up on missing, expired, or discrepant information and coordinate with providers and internal credentialing teams to resolve issues.</li><li>Ensure verification dates, results, and supporting documentation are properly recorded and maintained for compliance purposes.</li></ul>
- 2026-10-27T00:00:00Z