Credentialing Specialist

Physician Services USA; Columbia (SC); On-site; USD 42,000 - 52,000; Full time

Job summary

Physician Services USA seeks an experienced credentialing specialist to support credentialing and re-credentialing of medical providers and organizations. The role requires interaction with insurance companies to ensure timely and accurate credentialing processes.

Responsibilities include submitting applications, maintaining credentialing spreadsheets, and responding to inquiries from clients and management.

Qualifications

• Experience in credentialing processes and familiarity with CAQH systems.
• Strong attention to detail and ability to handle confidential information.
• Ability to meet deadlines in a fast-changing environment.

Responsibilities

• Communicate with insurance companies to ensure provider credentialing and re-credentialing are completed accurately and efficiently.
• Complete and submit credentialing applications.
• Maintain and update credentialing spreadsheets and databases.
• Respond to credentialing inquiries from clients or management regarding status.
• Adapt to changing requirements while meeting deadlines with professionalism and discretion.

Skills

CAQH familiarity

Tools

CAQH ProView

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