Credentialing Specialist
- Facility and Ancillary credentialing. to include all aspects of new applicant credentialing. re-credentialing; ongoing maintenance of provider credentials; online verifications; administrative support of credentialing functions.
- Review new applications and supporting documents in a virtual environment and apply policy and criteria required for credentialing processing.
- Perform all required primary source verifications.
- Contact hospitals. licensing agencies. malpractice carriers. and medical schools to obtain credentialing verifications.
- Maintain and update credentialing database records.
- Review malpractice history. regulatory and disciplinary action reports issued by state and federal agencies invoking appropriate processes as defined in policies and procedures.
- Review the CAQH system and download applications or supplemental documents as appropriate.
- Maintain electronic provider files.
- Perform outreach to providers and facilities via phone calls and fax/email correspondence.
- Demonstrate knowledge of credentialing regulatory and accreditation requirements
Hours: Monday - Friday 8am-5pm, possible overtime
Pay Rate: $15.00, Negotiable based on relevant experience
Contract Length: 6+ months - can go permanent
Number of Openings: 60!!!
- High School Diploma/GED
- Experience in healthcare related position/Customer Service
- 2+ years credentialing experience/insurance verification
- Data entry
- General PC skills
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Courtney Phelps
407-478-0332 ext 232