Credentialing Specialist
3 days ago
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.
What's in it for you?
- Competitive compensation
- Perfect Attendance Bonus
- Life insurance
- HMO Insurance
- Great company culture
- Annual Merit Increase
- 25% Night Differential
- Company-provided equipment
What is the job?
As a
Credentialing Specialist
is 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.
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.
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