Credentialing Coordinator
1 month ago
Job Summary:
We are seeking a qualified Credentialing Specialist to join our team on a 13-week contract. This position is responsible for the credentialing of physicians and allied health providers, ensuring compliance and accuracy throughout the credentialing process.
Location:
Fully onsite in Norwood, OH
Key Responsibilities:
- Complete and review provider applications with a high degree of accuracy and thoroughness.
- Contact providers for additional application information as necessary and liaise with government agencies and managed care companies to resolve discrepancies related to provider applications.
- Ensure timely submissions of all re-appointments and re-credentials, verifying that all licenses are current and maintaining internal files with copies of current credentials.
- Regularly communicate and follow up with TCHMA Administration, Billing Department, and Office Managers.
- Maintain and update the accuracy of the CAQH database.
- Perform all other duties as assigned.
Required Qualifications:
- 5+ years of experience in credentialing within a health system or hospital setting.
- Strong knowledge of CAQH processes.
- Proficient in Excel and other computer applications, including word processing, spreadsheets, and database management.
- Experience with Cactus/Symplr systems is preferred.
- Strong attention to detail and accuracy.
- Ability to work under pressure and adapt to changing circumstances.
- Business casual attire is expected.
Additional Requirements:
- Candidates must be open to obtaining a flu shot prior to starting.
- This position requires the candidate to be fully onsite in the Norwood, OH office.
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