What are the responsibilities and job description for the Credentialing Specialist position at Tri State Medical Group?
Responsibilities:
- Review and process credentialing applications for healthcare providers
- Verify and validate provider credentials, including education, training, licensure, and certifications
- Conduct primary source verification of provider information
- Maintain accurate and up-to-date provider files and databases
- Collaborate with internal teams to ensure compliance with regulatory requirements
- Communicate with providers to obtain missing or incomplete information
- Stay updated on industry trends and changes in credentialing standards
Requirements:
- Previous experience in credentialing preferred
- Knowledge of credentialing processes, standards, and regulations preferred
- Familiarity with provider enrollment and revalidation processes preferred
- Strong attention to detail and accuracy in data entry and documentation
- Excellent organizational and time management skills
- Effective communication skills, both written and verbal
- Ability to work independently as well as collaboratively in a team environment
- Proficient in using credentialing software or databases
Note: This job description is not intended to be all-inclusive. The employee may perform other related duties as negotiated to meet the ongoing needs of the organization.
Job Type: Full-time
Pay: From $19.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- AD&D insurance
- Dental insurance
- Disability insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: In person
Salary : $19
