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Credentialing Coordinator

3 months ago

Flowood, United States Professional Staffing Group Full time
Job DescriptionJob Description

We are looking for a Full-time organized credentialing coordinator to assist us with administrative tasks pertaining to our practitioners' credentialing. The individual will be responsible for credentialing for Orthopedic Providers and Nurse Practitioners. There will also be a responsibility to maintain the ASC provider’s credentialing.
The credentialing coordinator will organize, maintain, and verify all aspects of the process, and maintain current files on practitioners. You will track the expiration of certifications to maintain up to date files and assist health plan providers and staff with phone inquiries.
Be able to ensure the currency and accuracy of all information. Preferred candidates will be dependable and have excellent people skills.

 Responsibilities:

  • Processing initial credentialing and re-credentialing applications.
  • Screening practitioners' applications and supporting documentation to ascertain their eligibility.
  • Collecting information from the National Practitioner Data Bank, the applicant and their malpractice insurer, and other relevant sources.
  • Keeping up with all CAQH provider information monthly
  • Identifying discrepancies in information and conducting follow-ups.
  • Presenting applications to the facility’s Credentialing Committee.
  • Assisting management and providers with credentialing inquiries.
  • Responding to health plan provider inquiries.
  • Capturing primary source documentation in computer databases.
  • Ensuring data is backed up.
  • Ensuring compliance with applicable laws, regulations, procedures, and policies.


Requirements:

  • High school diploma, GED, or suitable equivalent.
  • 3+ years of credentialing experience with hospital medical staff.
  • Knowledge of medical credentialing and privileged procedures and standards.
  • Excellent verbal and written communication skills.
  • Proficient with Microsoft Office Word and Excel.
  • Proficient touch-typing skills.
  • Ability to focus for extended periods.
  • MUST be PECOS certified 
Company DescriptionWhen you work with Professional Staffing Group, you’ll notice immediately that we aren’t like other employment agencies. We know what it’s like to be in your shoes, and that’s why we’ve created a candidate experience that puts you first.

Here, we see you as a person. We get to know where you are coming from and where you want to go. Then, we help you get there. Job seekers across Mississippi work with us because we offer real opportunities and exceptional service that is transparent, and above all else, compassionate. We do more than present you with jobs; we arm you with the tools you need to craft a great resume, put your best foot forward in an interview and succeed once you hear, “you’re hired.”

Connect with employers hiring in Mississippi. You won’t find a firm that does more to help you reach your goals than Professional Staffing Group.Company DescriptionWhen you work with Professional Staffing Group, you’ll notice immediately that we aren’t like other employment agencies. We know what it’s like to be in your shoes, and that’s why we’ve created a candidate experience that puts you first.\r
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Here, we see you as a person. We get to know where you are coming from and where you want to go. Then, we help you get there. Job seekers across Mississippi work with us because we offer real opportunities and exceptional service that is transparent, and above all else, compassionate. We do more than present you with jobs; we arm you with the tools you need to craft a great resume, put your best foot forward in an interview and succeed once you hear, “you’re hired.”\r
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Connect with employers hiring in Mississippi. You won’t find a firm that does more to help you reach your goals than Professional Staffing Group.