
Healthcare Credentialing Professional
5 days ago
Credentialing Specialist Job Description
We are seeking a highly skilled Credentialing Specialist to join our team. In this role, you will be responsible for managing and maintaining provider credentialing files and records.
Key Responsibilities:
- 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.
Required Qualifications:
- 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.
What We Offer:
- Competitive compensation package.
- Perfect Attendance Bonus.
- Life insurance.
- HMO Insurance.
- Great company culture.
- Annual Merit Increase.
- 25% Night Differential.
- Company-provided equipment.
About Us:
We are a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in various industries.
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