Credentialing Specialist — NCQA Compliance & Provider Network

kozmetickesluzby.vecnakraska.sk - Jobboard; Sanford (FL); On-site; USD 45,000 - 60,000; Full time

Job summary

Saafe Behavioral Svcs. in Sanford, FL is seeking a Credentialing Specialist to manage the credentialing process for healthcare providers. This role involves ensuring compliance with NCQA standards and maintaining accurate records essential for quality care.

The ideal candidate will conduct background checks, collaborate with managed care organizations, and have a strong understanding of medical terminology and credentialing regulations. Excellent communication and organizational skills are vital.

Qualifications

• Previous experience in a medical office setting is preferred.
• Familiarity with managed care processes and regulations is essential.
• Understanding of NCQA standards and their application in credentialing.

Responsibilities

• Conduct thorough background checks and verification of credentials.
• Maintain accurate records in the credentialing database.
• Collaborate with managed care organizations for credentialing processes.

Skills

Attention to detail

Organizational skills

Healthcare operations

Communication skills

Knowledge of medical terminology

Job description

Saafe Behavioral Svcs. in Sanford, FL is seeking a Credentialing Specialist to manage the credentialing process for healthcare providers. This role involves ensuring compliance with NCQA standards and maintaining accurate records essential for quality care.

The ideal candidate will conduct background checks, collaborate with managed care organizations, and have a strong understanding of medical terminology and credentialing regulations. Excellent communication and organizational skills are vital.