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Credentialing Specialist
6 days ago
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The Credentialing Specialist position performs credentialing activities of the organization and medical staff. This position requires attention to detail, high levels of organizational skills, discretion and confidentiality, timeliness, efficiency, and the ability to interact with internal and external partners in a professional manner.
This position reports to the Chief Operating Officer.
**EDUCATION AND QUALIFICATIONS**:
- Must possess a high school diploma, Associate Degree preferred.
- Minimum of 2 years work experience with medical administration for a healthcare organization or as a Credentialing Specialist.
- Proficient in Microsoft Office, intermediate proficiency in Excel and Outlook.
- Highly organized and detail oriented to support the many deadlines and organizational requirements.
- Excellent written and verbal communication skills.
- Ability to function independently and effectively in a self-directed environment.
**ESSENTIAL JOB RESPONSIBILITIES**:
- Application management for billing enrollment and timely reimbursement.
- Management of expirable documents on file, electronically and paper copy as appropriate.
- Management of internal provider credentialing database.
- Assist in process improvement of credentialing process.
- Maintains contract database and generates reports summarizing key information for the organization and senior leadership.
- Provides support for the contracting and renewal process and monitors for upcoming contract renewals.
- Other special projects/assignments assigned as needed.
**SKILLS AND COMPETENCIES**:
- Attention to detail and accuracy, focused and organized, and ability to meet deadlines.
- Comfortable with computers and proficiency in relevant organization software and Microsoft Office.
- Uses multiple communication strategies to enhance communication in the organization and team.
- Ability to work in a confidential manner, ensuring information is shared with internal and external individuals in an appropriate manner.
- Professional with good communication and customer service initiative.
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