Medical Credentialing Specialist

2 weeks ago


Wayne, United States Coda Staffing Full time
Job DescriptionJob Description

*Full-time Permanent Opportunity*

Qualifications:

  • Credentialing Experience and process preferred for managed care companies, hospitals and surgical centers
  • Medical practice experience required
  • Ability to organize and multitask efficiently
  • Excellent verbal and written communication skills
  • Ability to professionally adapt to a rapidly changing environment
  • Positive attitude towards continuous training
  • Ability to work independently as well as in a team environment
  • Ability to establish and maintain positive and effective work relationships with coworkers and providers
  • CAQH knowledge is preferred but not required
  • Microsoft Office Experience (Excel, Outlook, Word)
  • Must be able to work and 8-hour shift in office

Responsibilities:

  • Complete enrollment/credentialing and re-credentialing applications
  • Maintain a detailed log of all pending and completed work
  • Communicate the results of status of the applications to manager, physicians and coworkers
  • Maintenance of physician enrollment and CAQH profiles
  • Documentation within enrollment database
  • Coordinate Signatures with manager for providers
  • Daily call to insurances for credentialing status
  • Research and resolve claim denials due to credentialing issues


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