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Credentialing Specialist

2 months ago

Philadelphia PA United States TEKsystems Full time

Credentialing Specialist

Philadelphia, PA

A top hospital is hiring

Description:

  • Performs complex, diversified administrative, clerical, operational and strategic functions.
  • Responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of medical staff and advanced practice providers credentialing in accordance with regulatory standards and guidelines.
  • Ensure integrity of provider database
  • Works cooperatively and collaboratively with practitioners, their employer and office staff to facilitate the credentialing process.
  • Supports the FPPE/OPPE functions, including assurance of timely evaluation and collection of data.
  • Manages assigned duties/ functions independently, maintain a high quality for detail and timeliness

Skills:

CAQH, Credentialing, Provider Credentialing, Hospital Credentialing, Insurance Credentialing

Additional Skills & Qualifications:

-Must be a self-starter and able to learn by on the job training

-Highly organized & great with time management

-Team player & detailed oriented

-2 to 3+ years of physician credentialing in healthcare, ideally within a hospital setting, but healthcare insurance is acceptable

-Thorough knowledge of physician credentialing software, Joint Commission Standards, PA Department of Health regulations and PA State Board Medicine Licensure requirements

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.