Credentialing Specialist

Job Summary
Our mission is to ensure our patients receive excellent care with a convenient, cooperative, and cost-effective atmosphere by providing experienced and efficient orthopaedic and surgical expertise. We are looking for a reliable, organized person to join our team as a Credentialing Specialist.

Job Responsibilities

The Credentialing Specialist, under the supervision of the Director of Quality & Compliance, is responsible for providing consistent, accurate, and timely credentialing of all Physicians, Mid-level Providers, and Facilities. This may include but is not limited to:

• Sets up and maintains an organizational system for the entire credentialing process, including a tracking system to assist other departments with needed information.
• Works to maintain and update certifications and CMEs for all providers.
• Gathers information from and maintains close contact with providers during initial credentialing process.
• Distributes renewed certifications, licenses, and registrations to all points in clinics as needed.
• Monitors and maintains new and existing providers’ credentials with all medical facilities and insurance companies.
• Submits application and renewal for all provider’s State and DEA licenses.
• Timely follow-up for all provider (to include physicians, mid-level providers, and nursing staff) licensures, renewals, facility appointments and reappointments as needed.
• Answers questions and concerns from providers.
• Other duties as assigned.

Qualifications

• Associate's Degree or corresponding level of experience.
• 2 years previous provider credentialing experience preferred.
• Previous experience in a medical office or managed care setting is preferred.
• Strong knowledge of medical terminology and credentialing standards.
• Excellent attention to detail and organizational skills.
• Ability to work independently and manage multiple tasks simultaneously.
• Strong communication skills, both written and verbal, to effectively interact with healthcare providers and team members.
• Proficient in using computer systems and software related to credentialing processes.
• Discretion and confidentiality when dealing with sensitive information.

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $19 - $22