
Healthcare Credentialing Specialist
9 hours ago
A credentialing specialist plays a vital role in upholding the standards of a healthcare organization.
">- Maintains current and accurate data for all providers.
- Updates corporate provider contract files as needed.
- Remains informed about health plans and agency requirements for credentialing providers.
- Ensures timely renewals by tracking licenses, certifications, and malpractice expirations for all providers.
- Processes applications for appointment and reappointment of privileges to physicians.
- Manages provider information in online credentialing databases and systems.
- Verifies practice addresses are current with health plans, agencies, and other entities.
- Audits health plan directories for current and accurate provider information.
- Provides support for credentialing-related issues and insurance contracts.
- Performs other duties as assigned.
- 5 years of experience in credentialing for a physician practice or healthcare sector.
- Bachelor's Degree in Business or a related field.
Required Skills:
- Proficiency in PC and ability to thrive in a fast-paced setting; experience with Microsoft Office Suite is a plus.
- Good presentation and communication skills.
- Productivity and resourcefulness with the ability to meet deadlines.
- Experience with Availity, CAQH, Optum, MultiPlan, and other credentialing databases.
This position offers a challenging opportunity to work in a dynamic environment and contribute to the success of the organization.
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