What are the responsibilities and job description for the Credentialing Specialist position at Athena Medtech Private Limited?
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Position OverviewWe are seeking experienced Credentialing & Privileging Specialists to support healthcare operations by ensuring all providers meet compliance standards for credentialing and privileging. This is a non-clinical position focused on administrative excellence and accuracy.
Key Responsibilities
Credentialing Coordination:Collect and verify provider documentation to meet organizational and regulatory standards.Process applications for initial credentialing and recredentialing.
Privileging Management: Review and maintain up-to-date provider privilege information. Coordinate with medical staff offices to ensure accurate privilege assignments.
Compliance and Verification: Ensure adherence to accreditation standards and state/federal regulations .Verify licenses, certifications, and professional references.
Data Management: Maintain accurate and organized provider records in the credentialing database. Generate reports as required for audits and compliance reviews
.Communication and Support: Serve as the liaison between providers, medical staff, and credentialing committees. Address inquiries and resolve discrepancies related to credentialing.
Qualifications Proven experience in credentialing and privileging processes
.Strong knowledge of healthcare regulations and accreditation standards (e.g., Joint Commission, NCQA).Proficiency with credentialing software and database management .Excellent organizational and attention-to-detail skills. Strong communication skills for interfacing with providers and staff.
Job Type: Full-time
Pay: $70,000.00 - $80,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
Ability to Commute:
- Rapid City, SD 57702 (Required)
Ability to Relocate:
- Rapid City, SD 57702: Relocate before starting work (Required)
Work Location: In person
Salary : $70,000 - $80,000
