Job Type
Full-time
Description
Position Summary:
Reports to the Contracting and Credentialing Manager. Primary responsibility includes but is not limited to preparing and submitting provider credentialing applications to insurance organizations and tracking follow-up. This position will also support the Provider Onboarding and Credentialing Coordinator, as needed, with provider intake data and maintenance of credentialing files.
Duties and Responsibilities:
- Prepare, submit, and follow-up on provider credentialing applications
- Maintain a detailed log of all pending and completed work in credentialing software
- Assist with intake documents and input data into credentialing software and credentialing database
- Assist with monitoring database for pending expirations of licenses, certifications, malpractice insurance, etc.
- Ability to work in a fast-paced environment
- Maintain confidentiality and integrity in all aspects of the credentialing process.
- Other duties as assigned. This is a safety-sensitive position.
Requirements
Education:
- High School Diploma or equivalent. Associate or Bachelor Preferred.
Experience:
- High school diploma or equivalent o 1+ years of medical credentialing is preferred
Skills:
- Strong written and verbal communication skills
- Demonstration of a professional and adaptable demeanor
- Requires initiative and the ability to follow directions
- Strong organizational skills and attention to detail
- Ability to work independently with minimum supervision, set priorities, and follow through
- Skill of proficiency in computer applications Word, Excel, Adobe o Working knowledge of CAQH and PECOS preferred