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Credentialing Specialist
4 weeks ago
Prior to submitting your application, we kindly request that you thoroughly review the job description and carefully address the screening questions provided.
We are seeking a meticulous credentialing specialist to integrate into our team, who will be responsible for overseeing administrative functions related to credentialing within our health facility. Your primary duties will involve maintaining and validating files, as well as monitoring the expiry of certifications across the organization. Your role will entail collaborating with various departments to guarantee that all staff members possess the required accreditations throughout the year. A keen attention to detail and excellent organizational skills are essential to ensure compliance with industry standards and regulatory requirements.
Responsibilities- Identify discrepancies in information and conduct follow-ups
- Present applications to the facility's Committee
- Assist customers with credentialing inquiries
- Respond to health plan provider inquiries
- Capture primary source documentation in computer databases
- Ensure data is backed up
- Follow compliance laws, regulations, procedures, and policies
Requirements and skills
- Proven work experience as a Credentialing Specialist or similar role
- Verifies and maintains the credentials of healthcare providers.
- Ensures compliance with industry standards and regulatory requirements.
- Monitors and evaluates care providers' qualifications and ongoing training.
- Reviews qualifications of healthcare professionals to ensure they meet organizational standards.
- Excellent verbal and written communication skills
- Expertise with Microsoft Office Word and Excel
- Proficient touch-typing skills
- Ability to focus for extended periods
- Relevant training and/or certifications as a Credentialing Specialist
Application Question(s):
How many years of experience do you have in credentialing?
Information Technology and Services - Rawalpindi, Pakistan
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