What are the responsibilities and job description for the Medical Credentialing Specialist position at Premier Link Consulting?
Summary
As a Credentialing Specialist you will be an integral part of our team, responsible for managing the credentialing process for healthcare providers. This role is vital in ensuring compliance with industry standards and enhancing the quality of care delivered to patients.
Responsibilities
- Oversee the credentialing process for healthcare providers, ensuring accuracy and compliance with regulatory standards.
- Review and verify provider credentials, including education, training, experience, and licensure.
- Maintain up-to-date records of provider information and ensure timely renewals of credentials.
- Collaborate with medical offices and managed care organizations to streamline the credentialing process.
- Conduct regular audits to ensure adherence to internal policies and external regulations.
- Assist in the development and implementation of credentialing policies and procedures.
- Provide support and guidance to healthcare providers regarding credentialing requirements.
- Stay informed about changes in healthcare regulations that may impact credentialing practices.
Qualifications
- Proven experience in a medical office or healthcare setting, preferably in credentialing or compliance roles.
- Strong understanding of managed care processes and medical terminology.
- Excellent organizational skills with attention to detail to manage multiple credentialing files effectively.
- Ability to communicate clearly and professionally with healthcare providers and stakeholders.
- Familiarity with industry standards related to credentialing is a plus.
Job Type: Full-time
Pay: $24.00 - $28.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Evening shift
Work Location: In person
Salary : $24 - $28
