What are the responsibilities and job description for the Credentialing Specialist position at NM Family Services?
Overview
We are seeking a detail-oriented and organized Credentialing Specialist to join our healthcare team. In this role, you will be responsible for verifying the qualifications and credentials of healthcare providers, ensuring compliance with industry standards and regulations. Your expertise in medical terminology and managed care will be essential in maintaining accurate records and facilitating the credentialing process efficiently.
Responsibilities
- Conduct thorough background checks on healthcare providers, including verification of education, training, and work history.
- Review and analyze applications for completeness and accuracy, ensuring adherence to established standards.
- Maintain up-to-date knowledge of regulatory requirements and best practices in credentialing.
- Collaborate with medical offices and managed care organizations to gather necessary documentation and resolve any discrepancies.
- Prepare and maintain detailed records of credentialing activities, including tracking expiration dates for licenses and certifications.
- Assist in the development and implementation of credentialing policies and procedures to enhance operational efficiency.
- Respond to inquiries from internal staff or external stakeholders regarding credentialing status or processes.
Requirements
- Proven experience in a medical office or healthcare setting is preferred.
- Strong understanding of medical terminology and standards related to credentialing processes.
- Familiarity with managed care systems and their requirements for provider credentialing.
- Excellent attention to detail with strong organizational skills to manage multiple tasks effectively.
- Ability to communicate clearly and professionally with various stakeholders, both verbally and in writing.
- Proficiency in using electronic health record (EHR) systems or credentialing software is a plus.
- A commitment to maintaining confidentiality and adhering to ethical standards in all aspects of the role.
Join our dedicated team as a Credentialing Specialist, where your contributions will play a vital role in ensuring quality healthcare delivery through effective provider management.
Job Type: Full-time
Pay: $15.00 - $18.00 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
Ability to Commute:
- Santa Teresa, NM 88008 (Required)
Ability to Relocate:
- Santa Teresa, NM 88008: Relocate before starting work (Required)
Work Location: In person
Salary : $15 - $18
