Credentialing Specialist

Familycare-Health-Centers-; Johnson Place (WV); On-site; USD 40,000 - 65,000; Full time

Job summary

WomenCare Inc dba FamilyCare Health Center is seeking a Credentialing Specialist to manage credentialing and re-credentialing for all providers who deliver patient care at the center and its locations in Scott Depot, WV. The role requires strong data integrity and familiarity with credentialing standards.

Responsibilities include maintaining provider documents, monitoring license expirations, and ensuring health plan compliance while supporting accurate provider records across online

Qualifications

• High school graduate or equivalent.
• Excellent customer service, telephone, and computer skills.
• Knowledge of credentialing and re-credentialing process.

Responsibilities

• Site and Provider Credentialing: Maintains data for all providers.
• Completes credentialing and re-credentialing applications and follows up as needed.
• Maintains copies of licenses, DEA certificates, malpractice coverage and other documents.
• Keeps knowledge of health plan requirements for credentialing providers.
• Sets up and maintains provider information in credentialing databases.
• Tracks license and certification expirations for all providers.
• Ensures practice addresses are current with health plans.
• Maintains collaborative agreements with providers.

Skills

Credentialing

Customer service

Telephone

Computer skills

Education

High school diploma or equivalent

Tools

Credentialing databases

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Credentialing Specialist

Billing Full Time Scott Depot, WV, US

2 days ago Requisition ID: 1966

Physical Requirements:

The employee is regularly required to talk, hear, and sit. Repetitive arm, hand, and finger movements are regularly required. The employee is frequently required to stand, walk, stoop, and reach. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. This is NOT a remote position.

Qualifications:

High school graduate or equivalent. Excellent customer service, telephone, and computer skills. Knowledge of credentialing and re-credentialing process.

Basic Function:

Responsible for all aspects of the credentialing and re-credentialing processes for all providers who provide patient care at WomenCare Inc dba FamilyCare Health Center and all locations.

Duties and Responsibilities:

Site and Provider Credentialing:

• Complies and maintains current and accurate data for all providers
• Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed
• Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
• Maintains knowledge of current health plan requirements for credentialing providers
• Completes setup and maintains provider information in online credentialing databases
• Tracks license and certifications expiration for all providers
• Ensures practice addresses are current with all health plans
• Maintains collaborative agreements with providers