Credentialing Specialist

3 months ago


Cocoa, United States AVO T&L, LLC Full time
Job DescriptionJob Description

Job Title: Credentialing Specialist

Location: Cocoa, FL

Position Type: Full-Time

Job Summary:

avô Transportation & Language Solutions is seeking a Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a vital role in growing our provider network by providing exceptional customer service, addressing inquiries, obtaining all on-boarding documents from potential new providers, and resolving issues with existing providers. This is a full-time position with a competitive starting hourly rate, benefits available after 90 days of employment, a consistent Monday-Friday schedule, and opportunities for growth within our organization.

Key Responsibilities:

- Process and review applications and reapplications for credentialing and recredentialing.

- Verify the qualifications and certification statuses of professionals using primary sources.

- Maintain up-to-date and accurate records of all credentials.

- Coordinate with internal departments and external organizations to follow up on pending items and discrepancies in credentialing documents.

- Ensure compliance with both internal policies and external regulations and standards.

- Handle the renewal of licenses and credentials before expiration dates.

- Assist in auditing and quality assurance initiatives to ensure adherence to credentialing standards.

- Respond to inquiries regarding credentialing procedures, status, and decisions.

- Prepare and submit detailed reports on credentialing progress and outcomes.

- Stay updated with changes in credentialing processes and requirements in the healthcare industry.

Qualifications:

- At least 2 years of experience in credentialing, preferably in a healthcare setting.

- Knowledge of industry standards and regulations related to credentialing.

- Proficient with credentialing databases and MS Office, especially Excel.

- Excellent organizational skills and attention to detail.

- Strong communication skills and the ability to handle sensitive information confidentially.

- Ability to manage multiple priorities and adapt to changing requirements.

- Demonstrated problem-solving skills and the ability to work independently.

Why Join Us:

Located in Cocoa Village, FL, our company offers a dynamic work environment that encourages innovation and rewards results. We offer competitive salaries, comprehensive benefits packages, and opportunities for professional growth.

Equal Opportunity Employer:

We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.


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