Remote Credentialing Specialist – Healthcare Network Ops

Upstream Rehabilitation Inc.; Phoenix (AZ); Remoto; USD 42.000 - 62.000; Tempo pieno

Vantaggi offerti da questo lavoro

Annual paid Charity Day

100% employer paid medical health保险

100% employer paid medical health保险

Descrizione del lavoro

Upstream Rehabilitation Inc., via Preferred Therapy Partners, seeks a Credentialing Specialist to support initial credentialing and recredentialing for network practitioners. You will collect and verify practitioner information, perform primary source verification, and maintain credentialing records.

You will monitor licensure and certification requirements, track expirations, and coordinate with health plans and internal/external stakeholders while ensuring data privacy and regulatory

Competenze

• High school diploma or equivalent.
• Strong attention to detail, self-motivation, and effective written and verbal communication skills.
• Demonstrated ability to establish and maintain positive working relationships with providers and staff.
• Proficiency in Microsoft Office (Word, Excel), Adobe Acrobat, and web-based systems.

Mansioni

• Maintain practitioner credentialing records and perform verifications.
• Manage CAQH and paper applications for credentialing and recredentialing.
• Coordinate with health plans and internal/external stakeholders.
• Monitor licensure and certification requirements and renewal dates.
• Ensure privacy and security of credentialing data in accordance with policies.
• Cross-train and provide support in other functions as needed.

Conoscenze

Attention to detail

Communication skills

Microsoft Office

Formazione

High school diploma or equivalent

Strumenti

Microsoft Word

Microsoft Excel

Adobe Acrobat

Web-based systems

Descrizione del lavoro

Upstream Rehabilitation Inc., via Preferred Therapy Partners, seeks a Credentialing Specialist to support initial credentialing and recredentialing for network practitioners. You will collect and verify practitioner information, perform primary source verification, and maintain credentialing records.

You will monitor licensure and certification requirements, track expirations, and coordinate with health plans and internal/external stakeholders while ensuring data privacy and regulatory