What are the responsibilities and job description for the Healthcare Provider Credentialing Specialist position at SCA Health?
Are you a skilled professional looking for a challenging role in healthcare credentialing? SCA Health is seeking a highly qualified Healthcare Provider Credentialing Specialist to join our team!
In this critical role, you will serve as the liaison between clinicians and internal teams to facilitate the onboarding and offboarding of physicians/providers. You will also manage the completion of new practice locations to providers and/or divisions, monitor payer credentialing and enrollment to ensure compliance with various payer standards, policies, and requirements, and maintain accurate and confidential credentialing databases and files.
We require a minimum of 3 years' experience working in a physician office, hospital, or managed care organization, and 5-7 years of experience in credentialing or equivalent work experience. The ideal candidate will possess excellent communication and interpersonal skills to effectively interact with all levels of staff and external partners.
Key Responsibilities:
- Serve as the main point of contact with clinicians.
- Manage the credentialing process and ensure standardization across all practice divisions.
- Monitor payer credentialing and enrollment to ensure compliance with various payer standards, policies, and requirements.
