Credentialing Specialist

Physician Services USA; Columbia (SC); On-site; USD 50,000 - 65,000; Full time

Job summary

A healthcare provider in Columbia, SC, is looking for an experienced credentialing specialist to assist with the credentialing and re-credentialing of medical providers. Key responsibilities include familiarity with credentialing systems like CAQH, submitting credentialing applications, and communicating with insurance companies. Applicants should have strong professionalism, adaptability to change, and maintain confidentiality. This position is vital for ensuring that credentialing processes are efficiently handled.

Qualifications

• Experience as a credentialing specialist in a medical office.
• Ability to communicate effectively with insurance companies.
• High level of confidentiality maintained.

Responsibilities

• Aid in credentialing and re-credentialing of medical providers.
• Complete and submit credentialing applications.
• Maintain and update credentialing spreadsheets.
• Respond to credentialing inquiries regarding status.

Skills

Familiarity with credentialing system (CAQH)

Professionalism

Ability to maintain confidentiality

Adaptability

Communication skills

Job description

Medical office seeking an experienced credentialing specialists to aid in credentialing and re-credentialing of medical providers and organizations.

Duties will include:

• Familiarity with credentialing system (CAQH)
• Communicate with insurance companies to assure provider credentialing and re-credentialing is completed correctly and efficiently
• Complete and submit credentialing application
• Maintain and update credentialing spreadsheets
• Respond to credentialing inquires by clients or management regarding credentialing status
• Ability to adapt to constant change and still meet deadlines
• High level of professionalism and ability to maintain strict confidentiality