Credentialing Specialist GS9102

Oklahoma State University; Tulsa (OK); Hybrid; USD 26,000 - 29,000; Full time

Job summary

Oklahoma State University’s OSU-Center for Health Sciences seeks a Credentialing Specialist to credential new providers and renewals with government insurers. This position works closely with the Credentialing Administrators and clinic leadership to ensure timely, accurate submissions.

You will update SSI and Availity records, collaborate with the 3 MCOs, and manage NPI registry updates, completing essential credentialing tasks. Strong analytical, communication, and teamwork are essential.

Qualifications

• Must possess strong analytical skills and excellent communication.
• Excellent organizational skills and ability to meet deadlines.
• Experience with clinical and financial support staff is preferred.

Responsibilities

• Credential providers and renewals with Medicaid and 3 MCOs.
• Support clinic administrators and credentialing administrators.
• Update SSI and Availity with provider and clinics information.
• Submit weekly rosters to the 3 MCOs and manage NPI registry updates.

Skills

Analytical skills

Communication

Organizational skills

Independent work

Multitasking

Team player

Leadership

Computer skills

Customer service

Education

High School/GED

Associate's

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.