Description
Position Summary:
Reports to the Contracting and Credentialing Manager. Primary responsibility includes but is not limited to preparing and submitting provider credentialing applications to insurance organizations and tracking follow-up. This position will also support the Provider Onboarding and Credentialing Coordinator, as needed, with provider intake data and maintenance of credentialing files.
Duties and Responsibilities:
Prepare, submit, and follow-up on provider credentialing applications
Maintain a detailed log of all pending and completed work in credentialing software
Assist with intake documents and input data into credentialing software and credentialing database
Assist with monitoring database for pending expirations of licenses, certifications, malpractice insurance, etc.
Ability to work in a fast-paced environment
Maintain confidentiality and integrity in all aspects of the credentialing process.
Other duties as assigned. This is a safety-sensitive position.
Requirements
Education:
High School Diploma or equivalent. Associate or Bachelor Preferred.
Experience:
High school diploma or equivalent o 1+ years of medical credentialing is preferred
Skills:
Strong written and verbal communication skills
Demonstration of a professional and adaptable demeanor
Requires initiative and the ability to follow directions
Strong organizational skills and attention to detail
Ability to work independently with minimum supervision, set priorities, and follow through
Skill of proficiency in computer applications Word, Excel, Adobe o Working knowledge of CAQH and PECOS preferred