What are the responsibilities and job description for the Credentialing Specialist position at White-Wilson Medical Center,P.A.?
About the Role:
We are seeking a highly motivated and detail-oriented Credentialing Specialist to join our team in the Health Care Services industry. As a Credentialing Specialist, you will be responsible for ensuring that all healthcare providers meet the necessary qualifications and standards to provide quality care to our patients. You will work closely with our team to maintain positive relationships with our network of healthcare providers and ensure that all necessary documentation is up-to-date and accurate. Your attention to detail and ability to work efficiently in a fast-paced environment will be critical to your success in this role.
Minimum Qualifications:
- Bachelor's degree in healthcare administration or related field
- 2 years of experience in medical credentialing
- Strong knowledge of medical terminology and healthcare industry regulations
- Experience with Medicaid and medical insurance
- Proficiency in ICD-9 coding
Preferred Qualifications:
- Certification in medical credentialing
- Experience working in a medical setting
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Ability to work independently and as part of a team
Responsibilities:
- Verify and maintain accurate provider information in our credentialing database
- Ensure that all healthcare providers meet the necessary qualifications and standards to provide quality care
- Collaborate with our Provider Relations team to maintain positive relationships with our network of healthcare providers
- Process and track provider applications and re-credentialing paperwork
- Maintain knowledge of current industry regulations and standards related to credentialing
Skills:
As a Credentialing Specialist, you will utilize your strong knowledge of medical terminology and healthcare industry regulations to ensure that all healthcare providers meet the necessary qualifications and standards to provide quality care. Your proficiency in ICD-9 coding will be essential to accurately process and track provider applications and re-credentialing paperwork. Additionally, your excellent communication and interpersonal skills will be critical to maintaining positive relationships with our network of healthcare providers. Your ability to work independently and as part of a team, as well as your strong analytical and problem-solving skills, will be key to your success in this role.
