Credentialing Coordinator

Jobtailor; Deutschland; Vor Ort; EUR 42.000 - 62.000; Vollzeit

Zusammenfassung

Jobtailor in Germany is seeking a Credentialing Specialist to facilitate the accurate and efficient credentialing and recredentialing of Medicaid Business Segment providers, ensuring timely processing for individuals and organizations.

You will coordinate Credentialing Committee meetings, review applications for completeness, enter verification data, mail approval letters, and communicate with the Credentialing Verification Organization and Network Services to track provider status.

Qualifikationen

• High-School Diploma or GED required.
• Associate's Degree preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred.

Aufgaben

• Facilitate the accurate and efficient Credentialing and Recredentialing of Medicaid Business Segment providers.
• Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations.
• Coordinate Credentialing Committee meetings.
• Identify and communicate agenda items for Credentialing Committee to immediate leader.
• Facilitate prompt coordination with the Credentialing Verification Organization (CVO).
• Review and maintain all applications for accuracy and completeness.
• Accurately and efficiently data enter primary source verification data into the credentialing database.
• Generate and mail approval letters to participating providers.
• Communicate with Network Services regarding status of provider and organizational credentialing.

Ausbildung

High-School Diploma or GED

Associate's Degree

Certified Provider Credentialing Specialist (CPCS)

Jobbeschreibung

Responsibilities

• Facilitate the accurate and efficient Credentialing and Recredentialing of Medicaid Business Segment providers
• Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations
• Coordinate Credentialing Committee meetings
• Identify and communicate agenda items for Credentialing Committee to immediate leader
• Facilitate prompt coordination with the Credentialing Verification Organization (CVO)
• Review and maintain all applications for accuracy and completeness
• Accurately and efficiently data enter primary source verification data into the credentialing database
• Generate and mail approval letters to participating providers
• Communicate with Network Services regarding status of provider and organizational credentialing

Requirements

• 2 years of experience in a healthcare field
• 2 years of experience in provider credentialing
• High‑School Diploma or GED in general field of study
• Associate's Degree in general field of study preferred
• Certified Provider Credentialing Specialist (CPCS) preferred

Core Competencies

Demonstrates expertise in provider credentialing and recredentialing processes, ensuring accuracy and compliance in healthcare provider applications. Proficient in coordinating meetings and communicating effectively with stakeholders to facilitate timely credentialing operations.

Certifications & Qualifications

• Certified Provider Credentialing Specialist (CPCS)