Medical Credentialing Specialist

About the position

We are seeking a detail-oriented Credentialing Specialist to join our team. The ideal candidate will have a strong background in managed care and medical terminology, ensuring compliance with industry standards in a medical office setting. Their success will be based on their ability to project manage many providers and get them onto contracts quickly. This is a remote position that will require potential travel to the Mesa location. The Credentialing Specialist will be responsible for compiling and maintaining current and accurate data for all providers, completing provider credentialing and re-credentialing applications, and monitoring applications while following up as needed. Additionally, the specialist will maintain copies of current state licenses, DEA certificates, malpractice coverage, and any other required credentialing documents for all providers. They will also need to maintain knowledge of hospital-specific requirements for credentialing providers and set up and maintain provider information in online credentialing databases and systems. Tracking license and certification expirations for all providers to ensure timely renewals is also a critical part of the role, along with researching and obtaining verifications of credentials and completing and reviewing all applications to ensure accuracy prior to submission.

Responsibilities
? Compiles and maintains current and accurate data for all providers
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? Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed
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? Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
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? Maintains knowledge of hospital-specific requirements for credentialing providers
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? Sets up and maintains provider information in online credentialing databases and systems
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? Tracks license and certification expirations for all providers to ensure timely renewals
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? Tracks license, DEA and professional liability expirations for appointed providers
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? Research and obtain verifications of credentials
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? Complete and review all applications to ensure accuracy prior to submission

Requirements
? Experience in the healthcare industry is a MUST
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? 1-2 years of experience in credentialing REQUIRED
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? Ability to organize and prioritize work and manage multiple priorities
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? Excellent verbal and written communication skills including letters, memos, and emails
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? Excellent attention to detail
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? Ability to research and analyze data
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? Ability to work independently with minimal supervision
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? Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization
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? Knowledge and understanding of the credentialing process
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? Proficient use of Microsoft Office applications (Word, Excel) and internet resources
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? Ability to work effectively in a fast-paced environment

Nice-to-haves
? Experience with Microsoft Office: 1 year (Preferred)
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? Experience with Microsoft Word: 1 year (Preferred)

Benefits
? 401(k)
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? AD&D insurance
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? Dental insurance
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? Disability insurance
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? Employee assistance program
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? Flexible spending account
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? Free parking
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? Health insurance
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? Health savings account
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? Life insurance
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? Paid time off
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? Vision insurance

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