Impactful Credentialing Analyst - Revenue Cycle Focus

Mountain Park Health Center; Phoenix (AZ); On-site; USD 55,000 - 70,000; Full time

Job summary

Mountain Park Health Center is seeking a Credentialing Analyst to analyze, evaluate, and validate provider information against credentialing requirements. The role maintains credentialing data across databases to ensure providers are credentialed for all plans and aligns with the Revenue Cycle Director to meet metrics.

The successful candidate will support credentialing and re-credentialing applications, obtain AHCCCS and Medicare numbers, and coordinate with plans to maintain provider rosters.

Qualifications

• Bachelor's degree required; two years credentialing experience or four years credentialing without a degree.
• Familiarity with CAQH databases and credentialing processes preferred.

Responsibilities

• Assists with credentialing processes and maintains credentialing databases.
• Verifies provider information against plans' rules and timelines.
• Coordinates with plans to maintain accurate provider rosters by plan.

Skills

Credentialing

Education

Bachelor's degree

CPCS certification

Job description

Mountain Park Health Center is seeking a Credentialing Analyst to analyze, evaluate, and validate provider information against credentialing requirements. The role maintains credentialing data across databases to ensure providers are credentialed for all plans and aligns with the Revenue Cycle Director to meet metrics.

The successful candidate will support credentialing and re-credentialing applications, obtain AHCCCS and Medicare numbers, and coordinate with plans to maintain provider rosters.