Credentialing Specialist

FamilyCare Health Centers (WV); Johnson Place (WV); On-site; USD 25,000 - 36,000; Full time

Job summary

WomenCare Inc dba FamilyCare Health Center is seeking a Credentialing Specialist onsite in Teays Valley, WV. The role handles credentialing and re-credentialing for all providers and maintains provider data in credentialing databases.

You will manage licenses, certifications and health plan requirements, ensuring timely submissions and accurate documentation across locations. This is an onsite position with standard office hours.

Qualifications

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

Responsibilities

• Maintains current, accurate data for all providers.
• Completes credentialing and re-credentialing applications; follows up.
• Maintains copies of licenses, DEA certificates, malpractice coverage for all providers.
• Maintains provider contract files.
• Keeps knowledge of health plan credentialing requirements.
• Sets up and maintains provider data in online credentialing databases.
• Tracks license and certification expirations.
• Ensures provider addresses are current with health plans.
• Maintains collaborative agreements with providers.
• All other duties as assigned.

Skills

Customer service

Telephone skills

Computer skills

Credentialing knowledge

Education

High school diploma or equivalent

Job description

Credentialing Specialist - Onsite ONLY - Teays Valley, West Virginia

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

Physical Requirements

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 provider contract files
• 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
• All other duties as assigned