Senior Credentialing Specialist

About this role

Daily tasks and responsibilities include, but not limited to: • Accurately complete payer enrollment and facility appointment applications for providers. • Provides support and assistance for new practice setup as needed. • Track progress of outstanding applications and communicate with provider relation representatives ensuring enrollment completion. • Maintains accurate and current information in the provider records which includes credentialing software database and in provider electronic folders. • Maintains credential files in an orderly and current manner. • Provides research and administrative support for special projects. • Ensures HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities. • Other duties may be assigned from time to time.

  Important Note: This Job Description is subject to any reasonable adjustment in accordance with the changing and developing needs of the position. Qualifications and Requirements • Preferably a college graduate or at least two years of college completed. • Minimum 3 years of experience in healthcare administration, credentialing, and provider enrollment (governmental and commercial payers) for facility-based providers.   • Minimum 1 year of experience in a healthcare revenue cycle setting. • Familiarity with credentialing software (e.g., CAQH, CredentialStream). • Strong written and verbal communication skills. • Strong critical thinking skills. • Excellent attention to detail. • Client-service oriented. • Highly effective team collaboration, accountable, and able to work with minimal supervision. • Proficient in email management and Microsoft Word and Excel applications. • Highly motivated self-starter. • Organized, able to set priorities, and meet deadlines. • Team player who supports department and company goals and policies. • Degrees or coursework related to the medical field are a plus.

Similar jobs

• Credentialing Specialist — Akidolabs · Chino, CA
• Credentialing Specialist — Sailorhealth · Remote
• Credentialing Operations Specialist — Avera Health · Sioux Falls, SD
• Clinical Onboarding and Credentialing Specialist — Centriaautism · Farmington Hills, Michigan, United States
• Credentialing Coordinator — Card · Remote
• Credentialing Team Lead — Betterhelpcom · Remote
• Credentialing Manager — Sleepdoctor · Remote
• Associate Credentialing Team Lead — Betterhelpcom · Remote