We are currently looking for a Credentialing Specialist to join our team.
Web Application Development
Medical Health Care
Responsibilities and Duties
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and recredentialing applications; monitors applications and follows-up as needed.
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Ready to do heavy research on new requirements.
Sets up and maintains provider information in online credentialing databases and system.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies and other entities.
Audits health plan directories for current and accurate provider information.
Experience and Skills
Must have 2+ years of experience with medical credentialing
Must have experience with payer enrollment at a carrier, a hospital, or a physician office.
Will be open to a medical biller who has done credentialing and payer enrollment.
Candidates who has experience in credentialing and contracting multiple payers for single physicians or physician practices.
Required Experience and Qualifications
Experience : 2 - 5 years in CREDENTIALING SPECIALIST( Required )
Graduation : Any Degree( Required )
Proficient in English( Required )
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