Remote Credentialing Specialist: Provider Privileges & HIPAA

PRM Management Company LLC; Oregon; Hybrid; USD 55.000 - 60.000; Vollzeit

Benefits dieser Stelle

Health, Vision and Dental

Paid holidays and PTO

FSA

Zusammenfassung

Pelvic Rehabilitation Medicine seeks a Credentialing Specialist to review and process provider privilege applications, ensuring deadline adherence and HIPAA-compliant credentialing processes. The role involves handling inquiries from providers across channels and managing re-credentialing for Physicians and CRNAs.

The ideal candidate has 2+ years in credentialing, proficient with credentialing software, and strong communication, problem-solving, and analytical skills in a fast-paced environment.

Qualifikationen

• High School Diploma required; Bachelor's Degree preferred.
• Minimum 2+ years' experience in provider credentialing.
• Proficient in credentialing/enrollment software and Microsoft Office.
• Strong communication skills to engage multiple stakeholders.

Aufgaben

• Reviews and processes applications for provider privileges.
• Focuses on follow-up and meeting stringent deadlines.
• Reviews and analyzes credentialing files for completeness, accuracy and changes.
• Responds to provider inquiries by letter, phone, or internal departments.
• Administers re-credentialing of Physicians and CRNAs.
• Complies with HIPAA regulations.
• Assists with special projects and process redesign initiatives as requested.

Kenntnisse

Communication

Problem solving

Analytical skills

Working under pressure

Ausbildung

High school diploma

Bachelor's degree preferred

Tools

Credentialing software

Microsoft Office

Jobbeschreibung

Pelvic Rehabilitation Medicine seeks a Credentialing Specialist to review and process provider privilege applications, ensuring deadline adherence and HIPAA-compliant credentialing processes. The role involves handling inquiries from providers across channels and managing re-credentialing for Physicians and CRNAs.

The ideal candidate has 2+ years in credentialing, proficient with credentialing software, and strong communication, problem-solving, and analytical skills in a fast-paced environment.