Managed Care Credentialing Support Specialist

Medical Services of America; Lexington (SC); On-site; USD 30,000 - 40,000; Full time

Job summary

Join a forward-thinking organization as a Managed Care Credentialing Support Specialist, where your attention to detail and organizational skills will shine. This role involves managing credentialing processes, ensuring compliance with HIPAA regulations, and maintaining accurate data for healthcare providers. You'll be part of a supportive team that values exemplary customer service and collaboration. If you're looking for a full-time opportunity to make a difference in the healthcare sector, this position offers a chance to contribute to a vital function within the industry while working in a dynamic environment.

Qualifications

• 2+ years of relevant experience in credentialing or related fields.
• Strong data entry and organizational skills are essential.

Responsibilities

• Manage credentialing and re-credentialing data with high accuracy.
• Prepare and maintain credentialing documents and applications.

Skills

Data Entry Skills

Organizational Skills

Communication Skills

Education

High School Diploma or GED

Experience in Credentialing

Job description

Managed Care Credentialing Support Specialist

3 days ago Be among the first 25 applicants

Medical Services of America provided pay range

This range is provided by Medical Services of America. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$13.00/yr - $16.00/yr

This position will be responsible for completing, submitting, and tracking credentialing as well as re-credentialing data while demonstrating high attention to detail and accuracy with an emphasis on timeliness. We are looking for a full-time specialist in our Lexington, South Carolina office.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Complies and maintains current and accurate data for assigned providers.
• Maintains credentialing and re-credentialing documents, including health plan secure portal access and validating provider profiles/demographics.
• Prepares credentialing and licensing applications and gathers supporting documents.
• Develops and maintains spreadsheets for monitoring as directed.
• Maintains organizational notifications on a variety of managed care credentialing and licensing, including relocations/openings/closures for the organization.
• Maintains internal processes to ensure timely submission of credentialing/licensing packets to meet deadlines established by Managed Care Payors.
• Ensures that information is available to appropriate users.
• Assembles credentialing and re-credentialing packets in a neat and orderly fashion.
• Maintains a HIPAA compliant environment.
• Supports and maintains a positive team environment at all times.
• Exhibits exemplary customer service to both internal and external customers of the organization.
• Contributes to team effort by accomplishing related tasks as requested.

MINIMUM JOB REQUIREMENTS

• High school diploma or GED; at least 2 years of experience directly related to the duties and responsibilities specified.
• Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year-for-year basis.
• Advanced data entry skills required.
• Excellent organizational skills required.
• Excellent oral and written communication skills required.
• Valid Driver's License required.

We are an Equal Opportunity Employer

Visit us at www.MSAhealthcare.com

Seniority level

Associate

Employment type

Full-time

Job function

Administrative, Legal, and Other

Industries

Hospitals and Health Care, Legal Services, and Data Infrastructure and Analytics