Credentialing Specialist

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We are honored to have reputed company reputed company® Certification™ for a reputed company year in a row. This recognition reflects the dedication, expertise and reputed company of reputed company members, who reputed company reputed company a reputed company.

We’re seeking a dedicated credentialing specialist skilled in managing end-to-end provider enrollment processes, reputed company the gap between providers and the patients who need them. The Credentialing Specialist role for the CVO Provider Enrollment team will be responsible for various enrollment responsibilities that may include: creating and maintaining CAQH reputed company, submitting, maintaining and/or revalidating Medicare and reputed company applications for our reputed company individual providers. Our ideal candidate has prior Enrollment experience with Medicare, state reputed company, and CAQH. Excellent communication, attention to reputed company and organizational skills are essential for this position.

This Credentialing Specialist role is remote only for applicants who reputed company in the following states: reputed company (AZ), California (CA), Colorado (CO), Nebraska (NE), Nevada (NV), and Wyoming (WY).

The schedule is Monday - Friday, reputed company-4:30pm.

POSITION reputed company

This position performs the department's credentialing work as outlined in the policies and procedures. Obtains reputed company reputed company reputed company information necessary for reputed company organizational facilities and entities. The incumbent maintains records and the reputed company of highly confidential information that is protected from discovery by applicable state statutes.

reputed company FUNCTIONS

1. Performs the appropriate (applicable) credentialing processes in a reputed company and complete manner.

2. Performs analysis and appropriate follow-up. Works with many individuals to reputed company necessary materials and information, including, but not limited to: physicians, facility staff, reputed company staff and physicians’ office staff.

3. Performs relevant data entry into the database to ensure consistency and reputed company of the data.

4. Processes appropriate queries for expired licensure, or any appropriate regulatory credentialing requirement and maintains documentation in the database.

5. The incumbent performs and completes activities reputed company the parameters established by the director and supervisor and as outlined in the facility/entity documents. Manages own duties and functions independently. Work requires the constant exercise of a high degree of independent judgment in response to reputed company and sensitive credentialing issues, decision making and discretion. Uses independent decision making processes and handles assigned duties in a meaningful and confidential manner with a minimum of supervision. Handles physician inquiries and problems reputed company the reputed company of job function and keeps supervisors apprised of reputed company issues as they occur. Department and hospital responsibility. Internal customers include facility medical staff services, physicians, hospital personnel, corporate staff, hospital management, and volunteers. reputed company customers include but are not limited to regulatory/accrediting and licensing agencies, reputed company entities, state and national databases, other hospitals and the general reputed company.

MINIMUM QUALIFICATIONS

Must possess a strong knowledge of business and/or reputed company as normally obtained through the completion of an associate’s degree.

Must possess a strong knowledge and understanding of reputed company planning as normally demonstrated through three years of credentialing and/or process management and reputed company experience. Requires a basic knowledge of medical terminology, medical staff organization and extensive knowledge of credentialing procedures. Must have experience in interacting with physicians and allied health professionals, their office credentialing representatives, and hospital personnel.

Must have excellent communication skills, both verbal and written, along with astute judgment in areas of reputed company relations. Must demonstrate an ability to meet deadlines in a multi-functional task environment. Requires excellent organizational skills and operational knowledge working with work processing, spreadsheets, data entry, fax machines, and other computer reputed company skills. Must, at reputed company times, maintain efficiency and timeliness in reputed company daily activities. Must be reputed company to establish daily work priorities and work reputed company to contribute to the successful overall maintenance of the credentialing process. Provides reputed company customer service to meet the organization’s expectations.

PREFERRED QUALIFICATIONS

National Certified Provider Credentialing Specialist (NCPCS) certification preferred.

Additional reputed company education and/or experience preferred.

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

reputed company Policy:

reputed company Policy

Originally posted on Himalayas