What are the responsibilities and job description for the Credentialing Specialist position at SHAWNEE FAMILY HEALTH CENTER?
Overview
We are seeking a dedicated and detail-oriented Credentialing Specialist to join our team. In this role, you will be responsible for ensuring that healthcare providers meet all necessary qualifications and standards required for credentialing within our organization. You will play a crucial role in maintaining compliance with regulatory requirements and supporting the overall efficiency of our medical office operations.
Responsibilities
- * Responsible for Compiling and maintaining current and accurate data for all providers * Responsible for Data entry and maintaining provider information in online credentialing databases and system (for example CAQH, PECOS, and NPPES) * Responsible for verification of State license, DEA, and Board certification * Responsible for Completing provider initial and re-credentialing applications * Audits applications for accuracy and completeness * Responsible for revalidation requests issued by government payers * Responsible for Submitting completed credentialing application and supporting documentation to all requested payers * Responsible for monitoring application progress and following up with payers as needed until confirmation of “in network” status has been received * Responsible for maintaining copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. As well as tracking all state license, DEA, and board certification expirations for all providers to ensure timely renewals * Responsible for tracking CME and, sending quarterly updates to providers * Utilizes strong research skills to gather pertinent information regarding provider
Skills
- * Familiar with provider credentialing and recredentialing requirements * Strong analytic computer and software skills * Excellent interpersonal skills including excellent verbal and written communication skills * Ability to demonstrate a high degree of trust and confidentiality * Ability to work independently and assume assigned responsibilities * Skilled in efficiency, organization, time management, and prioritization * Ability to be flexible and function well in a fast-paced environment * Ability to deal with problems involving several concrete variables in standardized situations * Ability to communicate effectively and relate to people of different cultures * Ability to handle confidential information
Join us in ensuring that our healthcare providers are fully qualified to deliver the best possible care to our patients. We look forward to welcoming a new member who is passionate about maintaining high standards in the healthcare field.
Job Type: Full-time
Pay: $45,000.00 - $60,000.00 per year
Benefits:
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 10 hour shift
- 8 hour shift
- No weekends
Work Location: Hybrid remote in Portsmouth, OH 45662
Salary : $45,000 - $60,000