
Credentialing Professional
2 days ago
Accurate credentialing and reappointment is crucial for healthcare providers to receive payment from payers and facilities. As a Credentialing Specialist, you will be responsible for ensuring the timely completion and submission of applications.
This role requires strong organizational and communication skills to track progress, report updates to team members, and monitor provider portals for accurate information.
You will also be responsible for maintaining up-to-date provider records electronically in credentialing software, electronic folders, and hard copy files.
In addition, you will assist with obtaining necessary documentation from providers, such as licenses, certifications, and insurance information.
Your expertise will be valuable in preparing professional communication with providers, payers, and facilities, while also understanding how credentialing impacts billing, contracts, and EDI.
This position demands attention to detail and problem-solving skills to investigate solutions and determine the best course of action.
Key Responsibilities- Complete credentialing and reappointment applications accurately and efficiently
- Track progress and report updates to team members
- Maintain up-to-date provider records electronically
- Assist with obtaining necessary documentation from providers
- Prepare professional communication with providers, payers, and facilities
- Minimum 2 years of experience in a related field
- Strong organizational and communication skills
- Leadership and management skills
This role offers the opportunity to work in a dynamic environment, contributing to the success of our organization. If you possess the skills and qualifications required for this position, we encourage you to apply.
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