Credentialing Specialist

INcompass Healthcare; Lawrenceburg (IN); Remote; USD 35,000 - 55,000; Part time

Job summary

A leading healthcare organization is seeking a Credentialing Specialist to oversee the credentialing process for providers. In this part-time role, you will ensure compliance with all regulations, maintain accurate files, and liaise between healthcare professionals and regulatory bodies. If you have strong communication skills and a detail-oriented approach, we encourage you to apply.

Benefits

Medical, Dental, and Vision Insurance

Prescription Coverage

Company Paid Life, AD&D and Disability Insurance

Company match up to 4.5% for 401k

Generous PTO Plan, no wait period

Tuition Reimbursement

Unlimited employee referrals

Paid holidays

Qualifications

• High School diploma required; Bachelor's preferred.
• One year of experience in credentialing within a healthcare setting preferred.
• Strong understanding of insurance plans and detail-oriented.

Responsibilities

• Manage credentialing and recredentialing processes for healthcare providers.
• Ensure compliance with state and federal regulations and organizational policies.
• Organize and maintain accurate credentialing files.

Skills

Communication

Interpersonal Skills

Attention to Detail

Problem Solving

Education

High School diploma or GED

Bachelor’s degree in healthcare administration, human resources, or a related field

Tools

Microsoft Office Suite

EHR systems

Insurance verification platforms

Job description

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Part-Time. Can be remote, but must be local to the area.

Position Summary

The Credentialing Specialist is responsible for overseeing and managing the credentialing and recredentialing process for healthcare providers, ensuring compliance with state, federal, and accreditation standards. This role involves verifying professional licenses, managing documentation, training, and collaboration to ensure healthcare professionals are qualified to provide client care.

Essential Duties And Responsibilities

The essential functions include, but are not limited to the following:

• Maintain accurate and up-to-date credentialing files for all healthcare providers.
• Organize and track renewal dates for licenses and certifications to ensure timely updates.
• Ensure adherence to federal, state, and local regulations as well as organizational policies.
• Prepare for and participate in audits related to credentialing processes.
• Input and manage provider information in credentialing software and databases.
• Generate reports on provider credentials and compliance status as needed.
• Act as a liaison between healthcare providers, management, and regulatory bodies.
• Respond to inquiries related to credentialing processes and documentation requirements.
• Stay updated on industry best practices and changes in regulations affecting credentialing.
• Recommend process improvements to enhance efficiency and compliance in credentialing practices, creating SOPs and providing training where needed.
• Performs other duties as assigned.
  
  
  

Minimum Qualifications (knowledge, Skills, And Abilities)

• Required: High School diploma or GED.
• Preferred: Bachelor’s degree in healthcare administration, human resources, or a related field.
• Preferred: One year’s experience in credentialing within a healthcare setting.
• Strong understanding of insurance plans.
• Excellent communication and interpersonal skills.
• Proficiency in Microsoft Office Suite
• Ability to work effectively in a fast-paced healthcare environment.
• Experience with EHR systems and insurance verification platforms.
• Attention to detail
• Strong problem-solving abilities
  
  
  

Our Benefits

• Medical, Dental, and Vision Insurance
• Prescription Coverage
• Company Paid Life , AD&D and Disability Insurance
• Company match up to 4.5% for 401k.
• Generous PTO Plan, no wait period
• Tuition Reimbursement
• Unlimited employee referrals
• Paid holidays

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Health Care Provider

• Industries

  Health and Human Services

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