Credentialing Specialist
1 week ago
Job Title: Credentialing Specialist
Location: Golden Valley, Minnesota
Annualized Compensation: $45,000 to $60,000
Schedule: Monday – Friday from 8:30am to 5:00pm
Are you ready to embark on a thrilling journey at the heart of healthcare excellence? Twin Cities Physicians is seeking a dynamic and detail-oriented Credentialing Specialist to join our dedicated team. As a Credentialing Specialist, you'll play a pivotal role in ensuring that our esteemed medical staff is equipped to provide top-tier healthcare services. If you're ready to dive into a world of precision, collaboration, and innovation while shaping the future of healthcare in Minnesota, then we invite you to explore this enticing opportunity with us
Credentialing Specialist Responsibilities:
· Manage CAQH, PECOS, and NPI registry for MNWC providers when applicable.
· Maintain and organize current state licenses, CSR, DEA certificates, malpractice coverage, and other required credentialing documents.
· Track license and certification expirations to ensure timely renewals for all providers.
· Collaborate with the Revenue Cycle Manager to ensure accurate provider attachments to existing and new contracts.
· Keep provider demographics up-to-date with all payers.
· Conduct audits of health plan directories to ensure accurate provider information.
· Stay informed about current health plan and facility requirements for credentialing providers.
· Assist in miscellaneous billing duties as assigned.
Credentialing Specialist Qualifications:
· Possess a Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
· Demonstrate a track record of successful experience in healthcare credentialing, privileging, and re-credentialing.
· Have familiarity with CAQH, PECOS, NPI registry, and other pertinent credentialing platforms.
· Exhibit strong organizational abilities and meticulous attention to detail, especially in documentation management.
· Maintain comprehensive knowledge of state licensing, CSR, DEA certificates, and malpractice coverage requirements, alongside effective communication skills for seamless collaboration with the Revenue Cycle Manager and accurate provider demographic maintenance.
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