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3 days ago
We are seeking a full-time Credentialing Specialist to support the credentialing process in our organization. This role involves performing credentialing work, maintaining accurate and current client information, and driving the implementation of an automated credentialing workflow management system.
Key Responsibilities:- Collect all required documentation for credentialing such as accreditation, membership and facility privileges
- Assist providers with completing payer forms and ensure compliance with payer's expectations
- Respond to provider inquiries regarding credentialing process progress
- Alert clients of new regulations, expiring certificates, reapplications and deficiencies in credentialing requirements
- At least 2 years experience in US-based Credentialing process
- Familiarity with US medical insurance industry
- Excellent listening, communication, and problem-solving skills
- Self-motivated and able to work autonomously
- Credentialing certification is required
This is a great opportunity for individuals who are passionate about healthcare and want to make a meaningful contribution to our organization.
About this Opportunity:- Maintain accurate and current client information using an online database
- Drive the implementation of the automated credentialing workflow management system: provide requirements to software developers and review implementation
In return for your expertise and dedication, you will receive a competitive compensation package that includes benefits such as paid time off, health insurance, and professional development opportunities.
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