Credentialing Specialist GS9102

Oklahoma State University; Tulsa (OK); On-site; USD 25,623 - 28,929; Full time

Job summary

Oklahoma State University is seeking a Credentialing Specialist to work closely with the Clinic Outreach and Credentialing Administrator to credential new providers and manage renewals. This role requires strong analytical skills and a minimum of three years of experience in multi-specialty provider credentialing, particularly with governmental insurance.

The ideal candidate should possess excellent communication and organizational skills, work independently, and be a team player. The position offers a hiring range of $18.60 - $21.00 hourly.

Qualifications

• Minimum of 3 years of experience in multi-specialty provider credentialing.
• Strong analytical skills with ability to manage multiple priorities.
• Credentialing Specialist (CPCS) Certification or equivalent experience.

Responsibilities

• Credentialing of new providers and renewals for existing providers.
• Support clinic administrators for renewals.
• Update registry with new provider and clinic information.

Skills

Analytical skills

Communication skills

Organizational skills

Leadership

Customer service

Multi-tasking

Computer skills

Education

High School/GED

Associate's Degree

Job description

Campus

OSU-Center for Health Sciences

Contact Name & Email

Jamie Childers, [e-mail]

Work Schedule

Typically, Monday - Friday, 8 hour shifts

Hiring Range

$18.60 - 21.00Hourly

About this Position

This role will work closely with theClinic Outreach and Credentialing Administratorwith the aim of credentialing of new providers and renewals for existing providers with Governmental insurers– Medicaid & the 3 MCO’s. Position will also work with clinic administrators andtheClinic Outreach and Credentialing Administratorto support the needs of clinicsfor renewals.The CredentialingSpecialistwill also work withdepartment leadershipinhelping to addresscredentialing needs, respond to physicians,staffand supervisors.Update SSI and Availity with the new provider andclinicsinformation. Work closely with the 3 MCO’s andsubmitthem weekly rosters. Work with the NPI registry for all termedand newphysiciansand groups. Other duties as assigned. Must be a team player.

Required Qualifications

• High School/GED (degree must be conferred on or before agreed upon start date)
• Minimum ofthree(3) years of experience in multi-specialty-provider credentialing encompassing government, and otherMedicaidinsurance products, with increasing responsibility during thattime period, or related experience.

Certifications, Registrations, and/or Licenses:

• Credentialing Specialist (CPCS) Certification or equivalent experience

Skills, Proficiencies, and/or Knowledge:

• Mustpossessstrong analytical skills. Excellent communication and organizational skillsrequired.
• Ability to work independently, manage multiple priorities, and meet established deadlines.
• Leadership, communication, customer service, multi-tasking, and computer skills are necessary for this position.
• Experience dealing with clinical staff as well as financial support staffrequired.
• Must be a team player.

Preferred Qualifications

• Associate's
• Prefer six (6) years of experience in multi-specialty provider credentialing encompassing government, commercial and other insurance products.