Medical Credentialer

Seeking an efficient, experienced credentialer to manage insurance and hospital credentialing for busy multi-speciality physician practice and out-patient surgery center.

Credentialer Job Responsibilities:

* Completes applications and reappointments for in a timely manner, ensuring continuous privileges.
* Maintains CAQH, ensuring accurate information and timely re-attestations.
* Track license, certification, and medical expirations to ensure timely renewals.
* Maintains copies of current state licenses, certifications, and medical testing results.
* Ensures compliance with company standards, and client requirements, State and Federal policies and regulations
* Keeps team members updated, especially with newly onboarded providers or newly requested facilities.
* Maintains rapport with insurance and hospital staff, facilitating communication and resolution of issues.

Qualifications

Credentialer Education and Experience Jobs Requirements:

* Minimum: Associate's Degree in related field. Education may be substituted for related experience.
* Ability to communicate effectively;
* Ability to work independently;
* Skilled in a variety of software applications such as Excel, Word, and Outlook programs.
* Some medical knowledge or medical group practice knowledge helpful.
* Two (2) years of related experience