
Credentialing Administrator
2 days ago
About the Role:
We are seeking a meticulous and detail-oriented individual to oversee administrative functions related to credentialing within our organization. This role involves maintaining and validating files, monitoring the expiry of certifications, and collaborating with various departments to ensure compliance with industry standards and regulatory requirements.
Key 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
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