A regional healthcare provider is seeking a Credentialing Specialist responsible for the credentialing and re-credentialing of hospital and provider practices. Key responsibilities include ensuring accurate and timely documentation for health plans, maintaining records in credentialing databases, and collaborating with vendors and payers. Ideal candidates will possess strong oral and written communication skills, have two to five years of payer credentialing experience, and be able to work independently. Comprehensive health coverage and education assistance are provided.
Qualifications
Two to five years of payer credentialing experience with Medicare and Medicaid understanding preferred.
Excellent oral and written skills for communication with various stakeholders.
Responsibilities
Credential providers accurately and timely for health plans.
Maintain data in credentialing database and online systems.
Track license and certification expirations for timely renewal.
Skills
Oral and written communication skills
Problem-solving skills
Organizational skills
Attention to detail
Ability to work independently
Relationship management skills
Education
High school graduate/equivalent
Tools
Credentialing databases
Online systems
Job description
A regional healthcare provider is seeking a Credentialing Specialist responsible for the credentialing and re-credentialing of hospital and provider practices. Key responsibilities include ensuring accurate and timely documentation for health plans, maintaining records in credentialing databases, and collaborating with vendors and payers. Ideal candidates will possess strong oral and written communication skills, have two to five years of payer credentialing experience, and be able to work independently. Comprehensive health coverage and education assistance are provided.