Credentialing Specialist
2 weeks ago
Overview
Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.
We are currently looking for a Credentialing Specialist who will be working with Connext's Client in the United States of America.
Benefits- Competitive compensation
- Perfect Attendance Bonus
- Life insurance
- HMO Insurance
- Great company culture
- Annual Merit Increase
- 25% Night Differential
- Company-provided equipment
As a Credentialing Specialist , you are responsible for supporting all aspects of the provider credentialing and payer enrollment process to ensure compliance with industry standards and organizational requirements.
- Manage and maintain provider credentialing files and records.
- Verify licenses, certifications, and other provider qualifications through primary source verification.
- Prepare, complete, and track payer enrollment and re-enrollment applications.
- Monitor credentialing and enrollment status, ensuring timely updates and renewals.
- Ensure compliance with HIPAA and regulatory standards in all credentialing activities.
- Bachelor’s degree in Healthcare Administration, Business, or related field.
- At least two (2) years of experience in provider credentialing, enrollment, or healthcare administration.
- Must have stable employment history.
- Experience using Excel spreadsheets, One Note, Adobe, Outlook and credentialing databases.
- Familiarity with HIPAA guidelines and healthcare compliance.
- Experience handling provider data and documentation with accuracy and confidentiality.
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