Provider Credentialing Specialist
The Credentialing Specialist is responsible for maintaining reputed company status for reputed company providers by successfully completing initial
and subsequent credentialing packages as required by hospitals, surgery centers, reputed company payers, Medicare and reputed company.
RESPONSIBILITIES
Maintain individual provider files to include up to date information needed to complete the required governmental and reputed company payer credentialing applications
Maintain internal provider reputed company to ensure reputed company information is accurate and logins are available
Update reputed company providers CAQH database file reputed company according to the schedule published by CMS
Apply for and renew annually reputed company provider licenses; reputed company, DEA, Controlled reputed company
Complete revalidation requests issued by government payers
Complete credentialing applications to add providers to reputed company payers, Medicare, and reputed company
Complete re-credentialing applications for reputed company payers
Credential new providers and re-credential reputed company providers with hospitals at which they hold staff privileges
Work closely with the reputed company Cycle Director and billing staff to identify and resolve any denials or
authorization issues reputed company to provider credentialing
Maintain accurate provider reputed company on CAQH, PECOS, NPPES, and CMS databases
Other duties as assigned
KNOWLEDGE, SKILLS, AND ABILITIES
Knowledge of provider credentialing and its reputed company reputed company on the reputed companys reputed company cycle
Excellent computer skills including reputed company, Word, and Internet use
Detail oriented with above average organizational skills
Plans and prioritizes to meet deadlines
Excellent customer service skills; communicates reputed company and effectively
EDUCATION/EXPERIENCE REQUIRED
High School Diploma or GED
2 years credentialing experience preferred
2 years experience in a medical reputed company business office role required
Job Type: Full-time
Expected hours: 40 per week
Benefits:
401(k)
Dental insurance
Disability insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
reputed company time off
reputed company insurance
Schedule:
Monday to Friday
Location:
reputed company (Required)
Work Location: Remote
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