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in Crystal River, FL
Credentialing Specialist
•4 days ago
Hours | Full-time, Part-time |
---|---|
Location | Crystal River, Florida |
About this job
Job Description
Job Description
Description:
We are currently seeking a Credentialing Specialist who is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages.
Responsibilities and Duties:
- Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing and re-credentialing applications.
- Compiles and maintains current and accurate data for all providers.
- Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
- Maintains corporate provider contract files.
- Ensures practice addresses are current with health plans and contracts as needed.
- Applying for in-network contract with various insurance carriers.
- Maintains confidentiality, security, and physical safety of any Provider, Plan, and PHI data.
- Credential new providers and re-credential current providers with hospitals at which they hold staff privileges.
Required/Preferred Qualifications:
- 1 year credentialing experience preferred.
- High school diploma/equivalent.
- Healthcare Credentialing experience is a plus.
- Must possess a strong proficiency with Microsoft Office Suite (Word/Excel/Outlook/PowerPoint).
- Medical Terminology.
- Must have knowledge with Credentialing databases such as MD Staff.
- Strong knowledge of Medical Contracts and negotiating.
- Versatile, flexible, and willing to work within a dynamic environment.
- Candidate must pass a background check.
- Medicaid, Medicare, CAQH, and Availity knowledge is a plus.
Schedule
This position reports to the Business Office Director. The schedule is M-F, 8:30AM-5PM.
Apply today
Apply on pedimhealthcare.com, click on Our People, click on Careers
Or send resume and cover letter to Emily Rizzo, HR Manager, at HR@pedimhealthcare.com
PM20
EOE
Compensation details: 16-19 Hourly Wage
PIf25bb0da8509-25405-30269445