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A leading healthcare services provider is seeking a credentialing specialist to support provider credentialing processes. The role involves processing applications, maintaining licensing files, and managing databases in a supportive and collaborative remote environment. Ideal candidates should possess extensive experience in credentialing and strong communication skills.
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely with flexibility
- Supportive and collaborative work environment
- Chance to make a positive impact on provider credentialing processes
- Competitive salary and benefits package
What to Expect (Job Responsibilities):
- Process initial applications and reappointments for hospitals, surgical centers, and managed care entities for assigned divisions
- Maintain complete files of provider licensure and credentials, monitoring renewals and forwarding copies to facilities
- Update and maintain credentialing database, including demographic and licensure information
- Track continuing medical education/ACLS credits and other training requirements
- Manage correspondence files and credentialing archival files
What is Required (Qualifications):
- High school graduate or equivalent; A.S. or B.S. degree in business administration or healthcare-related field preferred
- Minimum of five years of experience in credentialing
- Knowledge of organization’s policies, procedures, and systems
- Proficient in computer applications including MS Word, MS Excel, and database administration
- Strong verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- CPMSC/CPCS Certification preferred
- Knowledge of NCQA and/or JCAHO Accreditation standards
- Familiarity with federal and state regulations on confidentiality and peer review guidelines
#HealthcareServices #Credentialing #RemoteWork #CareerOpportunity #CompetitiveSalary
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