Medical Credentialing Specialist
2 weeks ago
*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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